- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... the administrator in development of the annual budget. Appropriate and effective utilization of staff. Managing key operations and financial levers to achieve budget… more
- Eastern Connecticut Health Network (Manchester, CT)
- …experience in a medical surgical acute care setting + Additional experience in case management , home care, and utilization review / management is ... hospital as needed. Reports to the Manager of Care Management . EDUCATION/CERTIFICATION + Graduate of an accredited school of...+ Must have a current license as a Registered Nurse in the State of Connecticut . + Professional… more
- Cleveland Clinic (Weston, FL)
- …to ensure compliance and strong performance across safety, quality, utilization and patient experience metrics and support implementation of requirements ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge,… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification within 5 years of start date. + Critical thinking and problem… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or manages ... RN Care Coordinator II reports directly to the Manager of Quality Management at the corporate level. Recruiter:Sandra Simmons || ###@covhlth.com Responsibilities +… more
- Covenant Health Inc. (Harriman, TN)
- …and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter:Sandra Simmons || ###@covhlth.com Responsibilities + ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
- Covenant Health Inc. (Harriman, TN)
- …and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter:Sandra Simmons ||###@covhlth.com Responsibilities + ... that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist +...patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the… more
- Apex Health Solutions (Houston, TX)
- …and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider ... literacy and adherence to established plan of care. Provides medication management support, including comprehensive medication review and adherence education… more
- Trinity Health (Livonia, MI)
- …as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and ... specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work assignments… more