- Providence (Olympia, WA)
- …peak performance. + **Compliance and Confidentiality:** Adhere to infection control, risk management , confidentiality policies, and regulatory guidelines. + ... care for our patients. _This position oversees St. Peter Hospital (390 beds) and Centralia Hospital (128...Participate in annual budget planning to deliver cost-effective and high- quality services. + **Admission and Discharge Management :**… more
- CVS Health (Columbus, OH)
- …claims payment issues. Supports the administration of the hospital care, case management and quality management processes in compliance with various laws ... + Maintains accurate and complete documentation of required information that meets risk management , regulatory, and accreditation requirements. + Protects the… more
- BronxCare Health System (Bronx, NY)
- …and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation ... in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific...Bronxcare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c)… more
- Billings Clinic (Billings, MT)
- …populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies. * Participates in continuing ... hospital and department programs to address and improve quality of care. * Advocates for marginalized or vulnerable...discharge and communicates these concerns. * Utilizes length of hospital stay, past utilization of resources and risk… more
- University of Washington (Seattle, WA)
- …Center - Montlake** has an outstanding opportunity for **a Utilization Management Nurse.** **POSITION HIGHLIGHTS** The goal of the **Utilization Management ... responsibility and establishes and maintains an efficient, cost effective care management process by determining the medical necessity and financial liability for… more
- Hawaii Pacific Health (Lihue, HI)
- …intervention. As the RN Case Manager, you will ensure the considerate and confidential management of unique and high- risk patient cases by performing case ... perform treatment plan assessments, discharge needs interviews, planning/coordination for high risk cases, and participate in organizational quality improvement… more
- CommonSpirit Health (Englewood, CO)
- …need for continued hospital stay, adequacy of discharge planning and quality care management . + Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, ... Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by… more
- Mount Sinai Health System (Long Island City, NY)
- …physician, social service, nursing and ancillary departments. + Refer cases to Risk Management when appropriate. + Concurrent and retrospective managed care ... **Job Description** **Care Manager-Care Management -Per Diem-Day-Mount Sinai Queens** Responsible for coordinating the care of the patients across the continuum.… more
- AdventHealth (Hinsdale, IL)
- …and weekend requirement; Holiday rotation **Location:** UChicago Medicine AdventHealth Hinsdale Hospital , 120 N Oak Street, Hinsdale, IL **The role you'll ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient… more
- AdventHealth (Bolingbrook, IL)
- …**Schedule:** PRN days; 8:30am-5pm **Location:** UChicago Medicine AdventHealth Bolingbrook Hospital , 500 Remington Blvd, Bolingbrook, IL **The role you'll ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient… more