- HCA Healthcare (Salt Lake City, UT)
- …sessions as well as conduct psychotherapy process groups. SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining ... in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies,...more years of clinical experience preferred. + Knowledge of Utilization Review , DRG review , and… more
- Mille Lacs Health System (Onamia, MN)
- …p rovider l ead to plan, direct , and coordinate the overall q uality , utilization review , and infection prevention p lan s for the organization ; including ... for conditions of participation and follows all regulatory guidance related to quality, utilization review and infection prevention. Job Duties All duties are… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... social workers, and psychology technicians, as well as staff (mental health RN and clinical pharmacists) who are directly supervised through other services. The… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health ... social workers, and psychology technicians, as well as staff (mental health RN and clinical pharmacists) who are directly supervised through other services. The… more
- HCA Healthcare (Portsmouth, NH)
- …software programs and data reporting systems to achieve the goals of case review , data abstraction, management and reporting. The Patient Safety Coord will ... mortality, complications, provide comparative data through various software programs, peer review cases * Performs basic data analysis and create graphs and… more
- US Tech Solutions (MI)
- …compliance with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical ... + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- Centene Corporation (Tallahassee, FL)
- …Cause Analysis experience preferred** **Florida Medicaid** **Position Purpose:** Conduct review of delegated entities for compliance with quality, service ... performance and utilization , credentialing reviews and medical record audits. Perform community...Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care… more
- Nuvance Health (Danbury, CT)
- …identified strategic growth targets. 6. Assumes responsibility for effective fiscal management of department/departments to ensure proper utilization of ... - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence *...Bonus for external candidates with minimum of 2-year current RN Acute Care experience. Internal candidates who transfer to… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …promotes patient/resident and clinical staff progressive understanding of skin and wound management and healing. The Wound Care RN integrates knowledge, skills, ... on conscious and deliberate planning in the care and management of patients with acute and chronic wounds across...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- BJC HealthCare (Belleville, IL)
- …patient populations. **Preferred Qualifications** **Role Purpose** The Ambulatory Care Manager ( RN ) provides clinical care management services to identified ... Interviewing techniques as a patient-centered approach to activate patients in self- management of their chronic conditions with the goal of improved symptom… more