- Mount Sinai Health System (New York, NY)
- …to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …initiatives; + Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court ... for patients under the jurisdiction of the Psychiatric Security Review Board (PSRB), patients committed by the superior court...training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the… more
- State of Georgia (GA)
- …federal rules and regulations + Develops, implements, and evaluates the surveillance of utilization review process to ensure quality services + Monitors, tracks, ... of clinical and treatment facilities, regulated entity operations and program management + Conducts utilization reviews, peer reviews, evaluation activities… more
- City of Durham (Durham, NC)
- …clinical coverage policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management . + Knowledge of: + ... policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management ? + No experience + Beginner level… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …initiatives; + Prepares and/or reviews reports, medical records and correspondence; + Perform utilization review and management functions; + Attends court ... training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the...recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional… more
- Trinity Health (Boise, ID)
- …for appropriate service authorizations and will contact the physician and Case Management / Utilization Review personnel, as necessary. + Informs ... patient to financial counseling, as required. + Validates medical necessity (LCD/NCD review ) of Medicare and Non-Medicare cases to ensure clinical and financial… more
- HCA Healthcare (Richmond, VA)
- …years of RN experience in a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has ... provided quality healthcare services since 1909, giving patient's access to highly-trained physicians and advanced technology. With more than a century of pioneering healthcare, our 290+ bed hospital is one of the leading acute care facilities for Greater… more
- Amergis (Westborough, MA)
- …ASD (Autism Spectrum Disorder) Job Description : + To provide quality case management , utilization review and psychotherapeutic services to all psychiatric ... and dual diagnosis patient populations and their families and significant others in support of the hospital's comprehensive approach to patient care including mind, body and spirit. + To serve as a member of the interdisciplinary team supporting the… more
- Genesis Healthcare (York, PA)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must ... including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture… more
- Urbandale Community School District (Urbandale, IA)
- …performance appraisal, education, collegiality, ethics, collaboration, research, resource utilization , communication, program management and health education. ... by the NASN Board of Directors February 2017). Please review the UCSD Actions of Excellence (https://drive.google.com/file/d/1sXPsFRue3TUnwGLKrw5M7C6NUqlmJPsK/view?usp=sharing) to gain… more