- Hackensack Meridian Health (Neptune City, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- Community Health Systems (Carlsbad, NM)
- …+ Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable ... laws and Joint Commission standards. + Acts as a liaison to community agencies, providing resources and services for...experience required + 3-5 years of experience in care management or utilization review required + 1-3… more
- Trinity Health (Chelsea, MI)
- …involves them in decision-making as appropriate; + Serves as primary liaison regarding registration functions (Inpatient Admissions , Outpatient, Emergency ... functional areas of Registration, Pre-Service/Financial Clearance, Financial Counseling, Case Management / Utilization Review, or other relevant experience with… more
- Bassett Healthcare (Cooperstown, NY)
- …do The Logistics C3 RN is responsible for appropriate placement for patient admissions , coordinating and expediting admissions and transfers as well as ... Bassett Medical Center and throughout the network. Acts as a primary liaison between all service locations, support departments, other healthcare facilities, and in… more
- UNC Health Care (Hendersonville, NC)
- …of care and cost effectiveness through the integrating and functions of care management , utilization review and discharge planning. The Care Manager must be ... and departmental guidelines and policies. Responsibilities: + Reviews new admissions and prioritize patients appropriately. Conducts and documents assessment and… more
- Hartford HealthCare (Newington, CT)
- …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. ... Manager is responsible for the placement of all patient admissions and transfer activity while monitoring capacity both currently...and swift clinical decision making. 2. Acts as the liaison between all points of entry (ED, PACU/OR, direct… more
- Mount Sinai Health System (New York, NY)
- …limited to:** + Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West...for patients requiring Residential Health Care Facility placement. + Liaison with financial department for current insurance coverage. +… more
- Select Medical (Los Angeles, CA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Management . **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among all… more
- Select Medical (Los Angeles, CA)
- …the allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... planning process. **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... criteria based and interventions will be documented + Evaluates admissions for medical necessity using approved criteria at defined...within 30 days of start + Certification in Case Management , Nursing, or Utilization Review, preferred +… more