- Catholic Health Initiatives (Bismarck, ND)
- …Not Required!):** If you have experience in Case Management, discharge planning, or utilization review , consider yourself one step ahead! **Don't just apply for ... a job; apply for a calling! Join the CHI St. Alexius Health Bismarck team and become the RN Case Manager who transforms lives and redefines patient care. We can't wait to meet you!** **Where You'll Work** Since 1885, CHI St. Alexius Health has been dedicated… more
- Dignity Health (Merced, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... patient care. **Job Requirements** **Education and Experience:** + Masters Degree in Social Work from a university or college accredited by the Council of Social Work Education. + Minimum of three (3) years in a hospital based Clinical Social Work role,… more
- HCA Healthcare (Dallas, TX)
- …and other parties as appropriate regarding behavioral services** + **Performs utilization review as assigned** + **Participates in developing department ... goals/objectives and clinical programming** + **Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program guidelines.** + **Demonstrates knowledge and role in hospital codes** + **Follows all hospital and… more
- City of Durham (Durham, NC)
- …had to maintain HIPAA/Confidentiality standards? + Yes + No 08 Do you have experience with utilization review , and data management? + Yes + No 09 Do you have ... experience with service delivery documentation (including counseling/treatment planning)? + Yes + No Required Question more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …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: + Licensed Nurse with current, active license in state of practice. +… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs. Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric… more
- Avera (Mitchell, SD)
- …as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other ... accreditations as may be required by law, practice standards, or departmental policy to maintain compliance with accreditation entities. + May be responsible for assisting customers on the phone or in person. + May run reports and use the automated dispensing… more
- Avera (Sioux Falls, SD)
- …as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other ... accreditations as may be required by law, practice standards, or departmental policy to maintain compliance with accreditation entities. + May be responsible for assisting customers on the phone or in person. + May run reports and use the automated dispensing… more
- UnityPoint Health (Cedar Rapids, IA)
- …Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval. * ... Provides statistical data or special reports as required by Substance Use Disorder Services department. Development & Patient Education * Continues professional development and involvement in professional activities that enhance clinical practice by sharing… more
- NHS Management, LLC (Mobile, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... care and ensures that orders are transmitted to other units as needed. + Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates. + Makes regular patient rounds to observe and assess… more