- BriteLife Recovery (Englewd Clfs, NJ)
- …also be key in establishing effective and timely payment plans, coordinating with utilization review and discharge planning to minimize non-payment risk, and ... plans and coordinating financial arrangements with collection personnel. . Collaborate with utilization review and discharge planning to limit non-payment risk.… more
- Carle Health (Champaign, IL)
- …patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of care within… more
- HCA Healthcare (Richmond, VA)
- …in an acute care setting preferred. + Previous case management or utilization review experience preferred. Chippenham Hospital has provided quality healthcare ... risk patients with discharge planning or psychosocial needs. + Review of patient notes identifying and addressing any conflict...of level of care, length of stay and resource utilization issues. + Identify barriers to discharge and contacting… more
- CareFirst (Washington, DC)
- …experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications:** + Knowledge and experience ... Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth transition… more
- WMCHealth (Margaretville, NY)
- …admission medical records. + UR-Reports concerns re: admissions and continued stay to Utilization Review Chair person and Medical Director. + UR- Prepares ... selected patients across the health care continuum. Promotes effective utilization of resources and the highest quality of care...monthly statistical report for monthly review at the UR Committee meeting. + UR-Provides clinical… more
- Catholic Health Initiatives (Bismarck, ND)
- …with family members, community resources, and other healthcare professionals. *Conducts utilization review : Act as a liaison with insurance companies ... by completing utilization review to ensure coverage for the patients programming. This includes documenting review findings, communicating with payers and… more
- UCLA Health (Los Angeles, CA)
- …external, to assist patients with discharge/post hospital care + Interact closely with Utilization Review and Patient Business Services to ensure correct and ... + Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up + Working knowledge… more
- ChenMed (Philadelphia, PA)
- …assess and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible ... work experience required + A minimum of one (1) year of utilization review and/or case management, home health, hospital discharge planning experience required +… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist ... care. Your responsibilities will include: + Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies… more
- Provider Solutions & Development (Klamath Falls, OR)
- …in the development and implementation of effective quality assurance and utilization review programs and performance improvement activities + Collaborate ... the Cancer Treatment Center ("CTC Director") and Sky Lakes Administration to review patient satisfaction, staffing levels, and operations + Participate in the hiring… more