- Community Health Systems (Bentonville, AR)
- …and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable ... activities under the supervision of a Registered Nurse or physician . This role involves reviewing medical records for appropriateness...hospital days and communicates findings effectively to the UM… more
- Trinity Health (Nampa, ID)
- …party payers and Medicaid. + Responsible for appeals, denials, as appropriate. Utilizes physician advisor referral as appropriate. + Will adhere to department ... hire, whichever date is later. + BSN required + 3-5 years of varied hospital clinical experience required. + Experience in case management, home health, and/or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …resource consumption. The SW CM (PRN) escalates cases, as appropriate, to management, Physician Advisor , Complex Care team and/or Ethics committee. It is the ... of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and...SW CM (PRN) serves as a resource to the Physician , Interdisciplinary Care Team, and patient for the interpretation… more
- Tufts Medicine (Boston, MA)
- …on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following ... house-wide patient care equipment. They also serve as an advisor a nurse can consult with over a specific...patient care to ensure patients' needs are met and hospital policy is followed. 5. Analyzes early warning score… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …resource consumption. The SW CM (PRN) escalates cases, as appropriate, to management, Physician Advisor , Complex Care team and/or Ethics committee. It is the ... of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and...SW CM (PRN) serves as a resource to the Physician , Interdisciplinary Care Team, and patient for the interpretation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …stay and/or resource consumption. The CM escalates cases, as appropriate, to management, Physician Advisor , Complex Care team and/or Ethics committee. It is the ... of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and...procedures. The CM serves as a resource to the Physician , Interdisciplinary Care Team, and patient for the interpretation… more
- BJC HealthCare (St. Louis, MO)
- **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** Full-Time **Req ID** : 94068 **Pay Range:** $57,304.00 - $93,288.00 / year ... selected to move forward with Interview Process, a Talent Advisor will contact you via email for a screen...contact you via email for a screen **Overview** **Christian Hospital ** has been serving St. Louis and the surrounding… more
- Alameda Health System (Oakland, CA)
- …(eg, inpatient, observation, outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet ... Utilization Management SUM Care Without Delay RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + $61.76/hr… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and/or resource consumption. The SW CM escalates cases, as appropriate, to management, Physician Advisor , Complex Care team and/or Ethics committee. It is the ... of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and...The SW CM serves as a resource to the Physician , Interdisciplinary Care Team, and patient for the interpretation… more
- BJC HealthCare (St. Louis, MO)
- …children's hospitals to rank in the top 25 of all 10 specialties. The hospital 's academic and physician partner, Washington University School of Medicine, is one ... **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** Part-Time **Req ID** :...experience) **Additional Information About the Role** St. Louis Children's Hospital is looking to hire a Social Worker (MSW).… more