status determination. Refers cases and issues to Case Management Medical Director based on departmental standards... the delivery of effective and efficient patient care. The role integrates utilization management, care coordination...
stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based... delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition...
-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate... General Surgery Operating Room A regional academic medical center and hospital with more than 125 years of service...
of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors... continuity of care and cost effectiveness through the integration and functions of utilization management, and/or care...
Hospital Emergency Trauma Center A regional academic medical center and hospital with more than 125 years of service... is the only Level I Adult and Level II Pediatric Trauma Center in the Midlands. Richland Hospital is a Magnet-designated...
oversees the medical services and clinical operations of eight Sexual Health Clinics, nine COVID Express Testing Clinics, three... WILL INCLUDE BUT NOT BE LIMITED TO: 1. Creating reports on patient portal application utilization; identifying and evaluating...
stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based... delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition...
and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based... to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination...
in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton... Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice...
Hospital Emergency Trauma Center A regional academic medical center and hospital with more than 125 years of service... is the only Level I Adult and Level II Pediatric Trauma Center in the Midlands. Richland Hospital is a Magnet-designated...
. Participates in quality assurance, quality improvement, and utilization review activities and recommends to the program director.... Primary Purpose Under the supervision of the program director, the clinical supervisor supervises all clinical aspects...
Richland Hospital General Surgery Operating Room A regional academic medical center and hospital with more than 125 years.... Our Trauma Center is the only Level I Adult and Level II Pediatric Trauma Center in the Midlands. Richland Hospital is a Magnet...
-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate... details . Prisma Health Richland Hospital Neuroscience and Stroke Unit A regional academic medical center and hospital with more than...
, etc. to successfully fill the needs of open cases. - Utilizes Aveanna Healthcare's applicant tracking system for candidate management..., and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well as the...
Minimum five (5) years of medicine/clinical and/or denial/appeal management/utilization review experience in health related... and responsibilities related to rights of patients at AHMC Seton Medical Center. 2. Demonstrates competence in the performance of duties...