- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... and coordinating services with physicians, families, third party payers and facility staff . MDS Coordinator Essential Job Functions + Oversees accurate and thorough… more
- HCA Healthcare (Niceville, FL)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered care by ... throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient and observation… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules ... data abstraction for special projects. Assumes responsibility for assisting department staff with backlog as needed. Assists with clerical duties as assigned… more
- Spira Care, LLC (Kansas City, KS)
- …including at least three years of Care/Case/Disease Management, Health Plan, or Utilization Review experience + Thorough understanding of advanced primary care ... Team" member and works closely with the providers and staff to support the Patient. Works with multiple members...bachelor's degree in nursing + Valid and active Registered Nurse (RN) in Kansas and Missouri or multi-state compact… more
- Sea Mar Community Health Centers (Everson, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... to the Quality Improvement Plan. + Train new clinic staff on the Chronic Care Model and Patient-Centered Medical...have any questions regarding the position, email Karyn Ramirez, Nurse Manager at ###@seamarchc.org Sea Mar is an Equal… more
- Magellan Health Services (Albuquerque, NM)
- …community services and agencies. + Manage team members` performance through the review of qualitative and quantitative performance results on a regular and ongoing ... milestones when indicated. + Regularly assess the clinical performance of staff via documentation audits, live service observations and other performance management… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …Knowledge, Skills and Abilities Preferred: + Knowledge of evidence-based criteria, utilization review , discharge planning and case management. Licenses and ... information to management and administration. They provide supervision of staff in the delivery of care for patients and...Certifications Required: + NJ State Professional Registered Nurse License. 172368 Minimum rate of $112,114.08 Annually HMH… more
- HCA Healthcare (Myrtle Beach, SC)
- …The Manager for Case Management supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are ... quality of the interactions, documentation and assessments of the case management staff . The Manager for Case Management coordinates activities that promote quality… more
- Genesis Healthcare (NJ)
- …Medicare/Medicaid reimbursement process through evaluating, enhancing, and training nursing center staff to increase their knowledge and skills required to optimize ... outcomes. *Evaluates the Medicare and Medicaid processes monthly to assure proper utilization of services to maximize reimbursement. *Monitors the nursing center by… more
- Community Health Systems (Fort Wayne, IN)
- …education experience required + Experience in ICU/Critical Care, case management, utilization review , quality, or inpatient coding preferred **Knowledge, Skills ... corporate stakeholders. + Supports onboarding and continuing education of CDI staff ; contributes to performance evaluation and skill development. + Ensures… more