- HCA Healthcare (Corpus Christi, TX)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... and Patient Safety (PIPS) Program. The PI Coordinator will review the continuum of care to determine compliance with...trauma patients. + Serve as a liaison to the clinical areas responsible for trauma patients. + Coordinate multidisciplinary… more
- HCA Healthcare (Tallahassee, FL)
- …and accountability in ensuring all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs ... level of care across the continuum. Ensures plan meets patient's clinical , psychological and discharge needs in collaboration with the attending physician… more
- Adecco US, Inc. (Minneapolis, MN)
- …benefits and criteria to clinical reviews . Utilization Management, pre-authorization, concurrent review , or appeals experience **Why work for Adecco?** . ... in accordance with policies, benefit plans, federal and state regulations, and clinical criteria, rendering approvals when appropriate. . You will summarize medical… more
- Nuvance Health (Norwalk, CT)
- …are executed to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate ... *Description* * Clinical Care Coordinator/RN Case Manager - Per Diem...between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is… more
- HCA Healthcare (Thornton, CO)
- …of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness of admission and ... needs post-discharge and facilities those services required. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for… more
- St. Luke's University Health Network (Allentown, PA)
- …of patient care management. + Facilitates insurance authorization, pre-certification, and concurrent reviews for assigned patients. + Maintains clinical records ... appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge,… more
- HCA Healthcare (Englewood, CO)
- …needs with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine ... coordination of services through an interdisciplinary process that provides a clinical , financial and psychosocial approach through the continuum of care. Balances… more
- Prime Healthcare (Victorville, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award...accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum… more
- HCA Healthcare (Aventura, FL)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...trauma patients. + Serve as a liaison to the clinical areas responsible for trauma patients. + Coordinate multidisciplinary… more
- HCA Healthcare (Englewood, CO)
- …of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness of admission and ... needs post-discharge and facilities those services required. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for… more
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