- Bon Secours Mercy Health (Youngstown, OH)
- …by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership. Stays ... abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population. This document is not an exhaustive list of all responsibilities, skills, duties,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …* Protects the safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods of high stress ... and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids May be… more
- Trinity Health (Boise, ID)
- …orthopedic trauma surgeon(s). The position includes direct clinical management through utilization of approved protocols and procedures as well as appropriate ... medical consultation. The APP will work closely with the Orthopedic Trauma Surgeons and other members of the trauma service to evaluate new trauma patients in the Emergency Room, to provide direction to hospital personnel regarding patient management issues,… more
- Nuvance Health (Norwalk, CT)
- …Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. 8. Ensures operational and human resources are ... used effectively in support of departmental fiscal goals. 9. Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. Supports and… more
- Nuvance Health (Norwalk, CT)
- …for effective fiscal management of department/departments to ensure proper utilization of financial resources. Demonstrates ability to analyze and understand ... data in order to support and justify business decisions. 7. Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. 8. Ensures… more
- US Tech Solutions (MI)
- …with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical practice + Medcompass ... **Experience:** + 3 years Clinical practice experience, eg, hospital setting, alternative care setting such as home health or ambulatory care required. + Healthcare and/or managed care industry experience. + Case Management experience preferred-- Position… more
- Northwell Health (Forest Hills, NY)
- …Management, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning, ... Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job Responsibility 1. Coordinates and facilitates… more
- Mohawk Valley Health System (Utica, NY)
- …Services. + Familiarizes self with each unit's activities and benchmarks through staffing utilization reports, and dialogues with charge nurse , nurse manager ... + Reviews performance and management indicator reports. + Maintains staff utilization policies and procedures. + Promotes effective communication and teamwork within… more
- Pacific Medical Centers (Seattle, WA)
- …functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with management of referrals ... and monitoring or institutional patients. Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers in our culture of patient-focused, whole-person care built on understanding, commitment, and… more
- Travelers Insurance Company (St. Paul, MN)
- …and communicate denials to impacted parties. + Identify the need for and engage nurse resource for utilization review when appropriate. + File appropriate state ... forms. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the… more