- Bassett Healthcare (Cooperstown, NY)
- …consistent with ethical standards of practice in the field + Participates in the Utilization Review Process + Collaborates with outside agencies, such as CPS/DSS ... + Performs other duties as requested and observed by supervisor or manager + Partial remote work is available dependent upon department needs and employee capabilities What we need from you Education: + Master's Degree in Social Work, required Experience: +… more
- UNC Health Care (Raleigh, NC)
- …activities/meetings. 2. Continuous Quality Improvement - Participate in quality assurance, utilization review , and performance improvement programs. 3. Education ... - Provide professional guidance and input during the development of new policies, formulation of new protocols, procedures, and programs. Provide professional consultation and participation in all aspects of accreditation, licensure and certification… more
- HCA Healthcare (Hudson, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... granted a 12 month grace period to obtain CPHQ or ABQAURP , if all other qualifications are met_ .CPPS (Certified Professional in Patient Safety) preferred .Minimum 5 years of experience .Knowledge of State, Federal, and TJC regulations. .Previous experience… more
- UNC Health Care (Chapel Hill, NC)
- …through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. Responsibilities: 1. Capacity ... Planning- Attend and actively participate in daily collaborative meetings to develop and implement a hospital wide capacity management strategy. Alert hospital leaders and care team stakeholders of capacity constraints that may impact Transfer Center… more
- Bishop McCarthy Center (Upper Deerfield, NJ)
- …and attends and participates in interdisciplinary care plan meetings morning meetings, utilization review , etc. + Writes summaries and progress notes as ... directed. + Assists in conducting a pre-discharge evaluation including but not limited to setting up Visiting Nursing Services, resources, etc. in the community. + Assists with discharge planning. Follows up after discharge. + Conducts required Cut Letters +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' Compensation ... and other Casualty clients. The Workers' Compensation Intake Nurse reaches out to injured workers to determine the type of care needed immediately after an injury. The Intake Nurse reports to the Casualty Department Manager. Primary Responsibilities +… more
- Accura Healthcare (Lake City, IA)
- …and personalized assessments for use in the evaluation of quality of care and utilization review for the purpose of clinical reimbursement. The MDS Coordinator ... confers with physicians, nurses, and other health personnel to ensure complete, current, and accurate medical records. QUALIFICATIONS: + Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ability to obtain… more
- Intermountain Health (Ogden, UT)
- …experience and all aspects of the Intermountain Operating Model. Participates in utilization review audits. + **Program Development and Marketing** : Contributes ... to program development and marketing strategies to grow the occupational therapy program to achieve department goals. **Skills** + Quality Improvement + Verbal and Written Communication + Patient Engagement + Critical Thinking + Time Management + Care Planning… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... various other committees of the Facility/Community (eg, Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. +… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most… more