Members. This will be accomplished through concurrent review processes using nationally recognized criteria. The Integrated... of service and level of care, either through Telephonic review, clinical documentation submitted by respective facilities...
Immediate need for a talented Registered Nurse - Case Manager/ Utilization Manager. This is a 03+ months contract... opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the...
Immediate need for a talented Registered Nurse - Case Manager/ Utilization Manager. This is a 03+ Months Contract... opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the...
Description Major duties include but are not limited to: Accountable for the clinical care and the daily.... Provides leadership and direct supervision, monitoring, and evaluation of the clinical and administrative clinic staff...
clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care... management experience. 3 Years case management, utilization review, care coordination experience. California Registered Nurse...
%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement.... Actively participates in the discharge planning process, including providing clinical review and authorization for alternate...
Job Category: Nursing Job Description: Primary Duties and Responsibilities The Education Coordinator II (Nurse... or exceeding goals for quality indicators. Oversees orientation for newly hired employees and annual skills review. Maintains...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
improvement and peer review. The Coordinator supports concurrent oversight and review of clinical quality measures and evidence...Job Category: Clinical Quality Job Description: The Quality RN Specialist supports the Performance Improvement...
. Our center combines the clinical sophistication of a large program and the personalized attention and individualized care.... Previous experience in case management and/or utilization review preferred. Why Join Competitive compensation with industry...
Job Category: Nursing Job Description: Primary Duties and Responsibilities The Education Coordinator II (Nurse... or exceeding goals for quality indicators. Oversees orientation for newly hired employees and annual skills review. Maintains...
Job Category: Nursing Job Description: Primary Duties and Responsibilities The Education Coordinator II (Nurse... or exceeding goals for quality indicators. Oversees orientation for newly hired employees and annual skills review. Maintains...
events Assist the physician, nurse and patient with clinical and technical support Document all communication...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...