- UPMC (Cumberland, MD)
- …and/or disease management required. + Three years of experience in a managed care environment, utilization , case, or disease management preferred. + Ability to ... at high risk for readmission on their transition of care . The Transition Coordinator coordinates care with...Health Plan Quality Management Department. + Complete an overall review of medical record to determine admission diagnoses, barriers,… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to… more
- CenterWell (Jacksonville, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more
- CenterWell (Kansas City, KS)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization . + Periodically review clinician charts to identify opportunities in ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization . + Monitor and manage daily patient care...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …System is looking for a Emergency Medicine Chief Physician to join the Medical Care Service at the Malcolm Randall VA Medical Center in Gainesville, Fl. The ... Physician will provide direct patient care in the Urgent Care and/or Emergency...VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Former EDRP… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric...on a 60 days basis per company policy. 9. Review /approve plan of care and all related… more
- Bassett Healthcare (Cooperstown, NY)
- …than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review + Directs and supervises patient care provided by LPNs and ... The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. The Discharge Nurse assesses, plans, delivers, coordinates,… more
- University of Utah Health (Salt Lake City, UT)
- …the accurate reporting of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and ... enhance the health and well-being of people through patient care , research and education. Success in this mission requires...analyzes Case Manager quality of service and utilization statistics.… more
- Colorado State University (Fort Collins, CO)
- …Prepares reports or summaries related to referral activity, patient outcomes, or service utilization , as needed for institutional review or reporting. + Performs ... can thrive, grow, and make a lasting impact. + Review our detailed benefits information here. (https://hr.colostate.edu/wp-content/uploads/sites/25/2021/01/benefits-summary-afap.pdf) + Explore… more
- Trinity Health (Albany, NY)
- …health care provider. Additionally this position requires collaboration with manager and providers to ensure clinical protocols and processes are followed and ... your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position...Hospital Admission or specialty consults and obtains records. + Review and reconcile medication list to ensure accurate and… more