Prior experience of working in inpatient case management or utilization review is preferred Strong medical surgical... and/or critical care background Preferred Experience with care coordination/utilization management, coding/DRG, billing, auditing...
Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve... in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital...
disciplines to clarify clinician documentation, which is incomplete, conflicting, or non-specific. b. Educates physicians... with Health Information Management regarding coding analysis and education initiatives for physicians and other clinical...
-3 years of management experience preferred Purpose: The Unit Director maintains 24-hour accountability for leading... and hiring of staff, department orientation, and fostering a culture of continuous performance management. This includes...
and financial outcome of care for an assigned case load. He/she functions as an advanced practitioner in the role of clinician... and families; clinical outcomes; utilization; service, and financial goals by performing the roles of assessor, planner...
of selection and hiring of staff, department orientation, and fostering a culture of continuous performance management... in the development and management of the department budget and holds staff accountable for the efficient use of resources...
Anticipated End Date: 2025-11-17 Position Title: Med Mgmt Nurse (US) Job Description: Medical Management Nurse... and will include weekends. The Medical Management Nurse will be responsible for review of the most complex or challenging cases...
and orthopedic trauma. Utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching... to patient and family. Educating nurses to ensure knowledge and competency in basic wound and lower extremity management...
, and contributing to their communities. The LTSS Service Coordinator-RN Clinician is responsible for overall management of member... Coordinator - RN Clinician (RN Case Manager) Hiring near: Milwaukee County Location: This field-based role enables associates...
Overview: To work with a dedicated and committed team, the RN Quality Investigator I is responsible for assessing... of allegations/complaints from members and providers that present adverse variation from expected clinician performance, clinical...
clinician at the Proficient level according to Benner's model of clinical practice. The Sr Staff RN position provides...At Houston Methodist, the Sr Staff Registered Nurse (RN) position is responsible for functioning as an advanced...
JOB SUMMARY: Competent Clinician. Possesses knowledge and skill to meet standards for competent professional nursing... situations that are commonly seen in assigned specialty population. Serves as a resource for Nurse Clinician I or II. Can manage...
JOB SUMMARY: Per diem position. Competent Clinician. Possesses knowledge and skill to meet standards for competent... Clinician I or II. Can manage commonly seen contingency situations that arise on the clinical unit. Provides patient care...
a culture of continuous performance management. This includes completing and delivering employee evaluations, managing daily... in the development and management of the department budget and holds staff accountable for the efficient use of resources...