each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... timely admission and concurrent utilization review for all patients of designated medical services; certifies medical...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... optimal management of clinical resources by conducting timely admission and concurrent utilization review for all patients...
and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks... as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory...
, oversight of resource utilization, and initiating and overseeing quality improvement activities. The charge nurse acts... and facility policies. Participates in the review and investigation of occurrence reports; intervenes and develops action plans...
: Job Description Summary: The RN: Case Manager promotes optimal health care outcomes in accordance with the policies, procedures, applicable... for the appropriate utilization of facilities and services; serves as a resource to physicians, nurses and ancillary staff...
assignments, oversight of resource utilization, and initiating and overseeing quality improvement activities. The Charge Nurse...: Participates in assessing and cost-effectively meeting staffing needs and resource utilization within the budget of the department...
nursing required. BSN preferred. B. Utilization review/discharge planning, case management experience preferred. C. Current... weekends and holidays. Minimum Education, Training, and Experience A. RN with at least 5 years of experience in acute care...
of denied reimbursement for hospital services rendered to a patient by providing a comprehensive review of a members’ clinical..., Experience, Licensure and Certification) Education: Licensed/certified healthcare professional, such as LPN, RN, OTR...
of care managers (including system care managers), utilization review nurses (RN, LPN) and insurance verification... representatives. This team will develop processes for prospective, concurrent and retrospective utilization review. They will provide...