- PruittHealth (Augusta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
- The New Jewish Home (Bronx, NY)
- …informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, ... staff as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement strategies for TNJH in collaboration… more
- Hartford HealthCare (Farmington, CT)
- …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more
- AdventHealth (Hinsdale, IL)
- …by the Sexual Assault Survivors Emergency Treatment Act (SASETA), the Illinois Nurse Practice Act, the International Association of Forensic Nurses Scope and ... nurses for the SANE role. + Leads monthly peer review of SANE cases, audits all sexual assault documentation,...+ Provides data as indicated to assure accurate record management and quality assurance process. + Responsible for coordination… more
- Geisinger (State College, PA)
- …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Aligned Care Team (PACT). The Advanced MSA coordinates with the Clinical Team to review the clinic utilization by using various reports (ie Clinic Utilization ... established to ensure assistance to Veterans providing a smooth process for the management of Veteran's outpatient appointments as well as support work of the… more
- Prime Healthcare (Chicago, IL)
- …license. 2. Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management , business office or related department. ... Set (MDS), and for tracking, and transmitting all data including the Resource Utilization Groups (RUGs) to the Department of Health and Human Services. The process… more
- Munson Healthcare (Traverse City, MI)
- …will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5 ... Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS . For those… more
- Penn Medicine (Plainsboro, NJ)
- …+ Coordinates discharge planning and communicates plan clearly to patient, family and Utilization Review Nurse , Financial Counselor and outpatient treatment ... interdisciplinary treatment team in a general hospital setting, providing case management and primary psychotherapy with inpatients and outpatients suffering from… more
- HCA Healthcare (Las Vegas, NV)
- …opening and continue to learn! **Job Summary and Qualifications** **The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...supporting a balance of optimal care and appropriate resource utilization .** **What you will do in this role:** +… more