- Villa of Hope (Rochester, NY)
- …coordinator, providers, director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and when needed ... JOB TITLE: Intake Coordinator- RN/ Evening DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager/Health Coordinator PAY GRADE: 82 FLSA STATUS: NON EXEMPT… more
- Hartford HealthCare (Hartford, CT)
- …Act, policies and procedures of the hospital and as directed by the medical staff . The registered nurse who through knowledge and ability uses the nursing ... space. Under the direction and general supervision of the Nurse Manager, the registered nurse utilizes evidence...workload and collaborate with manager to monitor and maintain staff performance. This leader will review the… more
- CenterWell (Atlanta, GA)
- … review of clinical documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the assessment, creates and ... action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff … more
- AdventHealth (Orlando, FL)
- …Services in the verification process. Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case ... Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three...and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command,… more
- Covenant Health Inc. (Morristown, TN)
- …processes are in place to achieve desired outcomes. + Collaborates with the Peer Review /PQPR medical staff chair to operationalize assessments of peer review ... their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six...the committee facilitator as needed. + Communicates with medical staff to improve utilization of resources and… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …in an interactive way with all members of the clinical and administrative staff . Perform consult review , consult routing, and completion of consults. Indirect ... vacancies become available. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... Follows cases for authorization for in patient stay. + Staff review short stay, long stay and...patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases… more
- The County of Los Angeles (Los Angeles, CA)
- …administrative supervision to plan, assign, oversee, and evaluate the work of subordinate staff and provides technical guidance and support to staff within the ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...in a timely manner. + Coordinates the delivery of staff training necessary to maintain mandated levels of services.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and guidelines development. 3. ... Towson, MD * Staffed with 24 /7 and Neonatal Nurse Practitioners * TeleHealth Support 24/7 from the UMMC...clinical and reimbursement activity. 7. Participates in the Peer Review Program as described in the Medical Staff… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more