- PruittHealth (Norcross, GA)
- …and external audits and surveys. * Report potential financial risks or under- utilization to leadership. **Qualifications:** * Registered Nurse (RN) with active ... **Job Summary:** The Oasis Assessment Clinical Reimbursement Coordinator plays a critical role in ensuring accurate and compliant documentation of patient… more
- Medical Center Hospital (Odessa, TX)
- …of the Trauma patient is required. One year experience in performance improvement, utilization review and teaching is preferred. C. Job Knowledge Comprehensive ... of improving the care of injured patients. Trauma Outreach Coordinator (TOC) is responsible for assisting the Trauma Program...accredited school of nursing, current License as a Registered Nurse in the State of Texas. BSN preferred. Certification… more
- Genesis Healthcare (Clayton, NM)
- Overview **Clayton Care Center seeks a MDS Coordinator !** At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of ... making a meaningful impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid… more
- Penn Medicine (Philadelphia, PA)
- …be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center. Summary: + ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current knowledge/use ... Position Summary: The Licensed Vocational Nurse plays a vital role within the Case...within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers, support… more
- Atlantic Health System (Florham Park, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. + ... appropriate transport priority and mode, while considering appropriate resource utilization and timeliness of transfer. + Communicates transport information to… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used We deliver inspired people to do meaningful ... way our patient care is delivered. As a Registered Nurse at Virginia Mason you are able to grow...hospital clinical experience + Current licensure as a Registered Nurse in the state of Washington (RN-WA) + BLS… more
- Bon Secours Mercy Health (Richmond, VA)
- …Structural Heart related research trials. **II. Employment Qualifications** * Registered Nurse license in Commonwealth of Virginia, graduate of accredited RN program ... * 3-5 years cardiac surgery and/or cardiology experience as a Registered Nurse **III. Essential Job Functions** **Clinical:** * Provide direct patient care through… more
- Highmark Health (Pittsburgh, PA)
- …that supports excellence of care and achievement of optimal resource utilization . **ESSENTIAL RESPONSIBILITIES** + Assumes role in assessment of patient physical, ... interventions and outcomes.Interviews and collects patient specified data and chart review related to readmission. + Knowledgeable of and complies with accreditation… more
- MetroHealth (Brooklyn Heights, OH)
- …with the care team in the provision of patient care. Performs a clinical review of selected patients to determine service needs. Coordinates the care of selected ... patients. Integrates and coordinates access and utilization management, proactive patient panel management, care facilitation, and treatment planning functions.… more