- AdventHealth (Davenport, FL)
- …departments including surgery, dietician, rehabilitation and occupational therapy, nursing, case management , marketing, home health and others involved in the care ... of the patient. Regularly collects data through chart review and computer generated reports. Presents data and reports to Committee and the Orthopedic Governance… more
- Allegan County (Allegan, MI)
- …makes appropriate referrals, utilizing resources + Provides comprehensive case management and coordinates services provided through a multidisciplinary approach ... in the community as assigned. + Provides prevention and health education, case management , and care to individuals and families, in coordination with health care… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …staff assignments and promoting staff development. + Responsible for the utilization and continued review of patient care protocols, standards ... to be a part of this incredible work. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in the healing power… more
- Corewell Health (Dearborn, MI)
- …even home and auto insurance + Free onsite parking Essential Functions + Utilization of a high degree of discriminative judgement while providing medical ... management including assessment of medical and psychosocial status, comprehensive...recognized PA program that is accredited by the Accreditation Review Commission on Education for Physician Assistants and meet… more
- Fresenius Medical Center (Teaneck, NJ)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (North Myrtle Beach, SC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- US Tech Solutions (Branchburg, NJ)
- …RN on an **acute/critical care** unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care ... Tissue/Blood banking * Critical care skill set. The chart review is critical, and the candidate must have knowledge...international and state regulations during the second level quality review of all **tissue donor files** for tissue submitted… more
- US Tech Solutions (Columbia, SC)
- …prioritize effectively and have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + A ... established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis,… more
- US Tech Solutions (MI)
- …with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical practice + ... + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more