- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU) . At least 1 year of experience in utilization review, case management , or hospital discharge planning . Familiarity with ... LVN- Hybrid Job Duties: . Perform timely utilization reviews for Medicare inpatient admissions, continued stays,...discharge planning and identify post-acute needs including SNF, rehab, home health, or DME . Communicate avoidable days, delays… more
- Fresenius Medical Center (Albany, OR)
- …provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily ... works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for… more
- Fresenius Medical Center (San Antonio, TX)
- + Level Description' Management ' Leveling Guide consists of jobs with the responsibility, accountability, and decision-making authority to develop and implement ... with implementation of policies and procedures for the clinical staff.Impact* Management of professionals and support staff. Responsible for setting objectives for… more
- Fresenius Medical Center (Akron, OH)
- …and acting on adverse events and action thresholds. + Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- US Tech Solutions (Springfield, IL)
- …ensure appropriate utilization of benefits and services + Utilize case management and quality management processes in compliance with regulatory and ... of clinical experience preferred + **2-3 years** of care management , discharge planning, home health, or care...**2-3 years** of care management , discharge planning, home health, or care coordination experience preferred + Experience… more
- Fresenius Medical Center (North Myrtle Beach, SC)
- …and acting on adverse events and action thresholds. * Oversees facility's Home Therapies Program if applicable. * Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- US Tech Solutions (MI)
- …and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing ... members needs to ensure appropriate administration of benefits + Utilizes case management and quality management processes in compliance with regulatory and… more
- Diversicare Healthcare Services & Diversicare Ther (Bryson City, NC)
- …**Qualifications** 1. Degree in nursing. 2. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 3. Experience providing ... in and facilitate Engage/72 HR Admission meetings as part of the care management system. + Manage the restorative nursing program, integrating it with the activity… more
- Fresenius Medical Center (Raleigh, NC)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- WellSpan Health (Chambersburg, PA)
- …**Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients,… more