previous experience in case management, utilization review, or social services. 3. Ability to interact with patients, families.... Qualifications REQUIRED: 1. Graduate of an accredited Registered Nursing School (RN) with a current GARN license 2. One (1) year...
Northside Hospitalbased on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
Humanareview of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
CenterWell Home HealthExperience in care coordination, case management, discharge planning, and utilization review Education Graduation...
Children's Healthcare of Atlantareview of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
CenterWell Home Healthreview of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
Humanaeducation needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization.... Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review...
CenterWell Home Healthreview of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
Humanaeducation needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization.... Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review...
Humana, and utilization review Education Graduation from an accredited school of nursing Certification Summary Licensure.... Refers cases identified as risk management, peer review, or quality issues to appropriate personnel. Performs...
Children's Healthcare of Atlantacoordination, case management, discharge planning, and utilization review Education Graduation from an accredited school... and inpatient services where appropriate. Refers cases identified as risk management issues, peer review issues, or quality issues...
Children's Healthcare of Atlantacollections and auditing activities. Manages clinic financials including efficient utilization of supplies or equipment... and regular profits and loss review. Responsible for all required network reporting and on-site state or federal surveys...
Fresenius Medical Carecollections and auditing activities. Manages clinic financials including efficient utilization of supplies or equipment... and regular profits and loss review. Responsible for all required network reporting and on-site state or federal surveys...
Fresenius Medical Care, such as utilization review or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer... skills in a high-volume, fast-paced, team-oriented environment. Experience as a RN, Medical Case Manager is ideal...
CorVelfor supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members... and to take the pre and post-test to review competency during orientation. Yearly competency test is required for all Sharecare...
Sharecareand psychosocial assessment. Will be actively involved in Discharge Planning and Utilization Review in a progressive acute care setting..., utilization review, or social services. Ability to interact with patients, families, physicians and hospital staff. Excellent oral...
Northside Hospitaland provides management for functions of utilization review, care coordination, access center and bed management. Helps support the..., resource utilization, EMTALA regulations, transfer coordination and other regulatory duties. The RN Manager works...
Phoebe Putney Health System