is patient-centered by utilization care plans, self-management tools, and care coordination for high risk patients. Care... to blood or body fluids. Reporting Relationship: Reports to Medical Director Caring for you as you care for the CommUNITY...
: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length... as assigned Other information: LINES OF REPSONSIBILITES: (Chain-of-command) 1. Case Management Supervisor → 2. Director...
Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training... Clinical Manager / Director informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts...
. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality...- Nursing. Preferred Work Experience: Prior Pharmacy Utilization Management experience. Work experience in healthcare...
) demonstrating leadership to effectively partner with hospital leaders and medical staff to meet and exceed the hospital's mission..., observation, and management through collaboration and servant leadership. The RN House Supervisor uses performance improvement...
of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are continually.... Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members...
. EDUCATIONAL REQUIREMENTS: Licensed Psychologist, Licensed Clinical/Masters Social Worker, Licensed Marriage and Family Therapist..., Licensed Mental Health Counselor, or Licensed Creative Arts Therapist EXPERIENCE REQUIRED: Competency in substance abuse...
physician discussion with medical director of third party payer in an attempt to overturn potential denial. Obtains third party... required. Experience in Quality Improvement, Utilization Management, Case Management preferred. Microsoft Office skills required, database...
Medicine. This position will provide overall medical care and provide medical management for patients, exercising autonomy... for supervisory and administrative activities and special projects as delegated by supervisor/division director/medical director...
for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians... accurate and up to date information to the H&C Transitions Sr. Manager or Medical Director Assure appropriate referrals...
-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians... accurate and up to date information to the H&C Transitions Sr. Manager or Medical Director Assure appropriate referrals...
of activity documentation, integration of pilot activities in non-medical counseling work, and the utilization of applicable... to a dedicated military unit. Responsible for providing MFLC services including non-medical, short term, walk around counseling...
of pilot activities in non-medical counseling work, and the utilization of applicable technology to complete... and licensed at the independent level as a Social Worker (LICSW, LCSW-R or LICSW-CP), Mental Health Counselor (LPC or LMHC...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... regulations in the District of Columbia, and under the direction and supervision of the Clinical Director or another appropriate...
range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health... Reports To: Residency Manager/Director Essential Functions Demonstrates communication and interactions in accordance...
and referrals. Use utilization management. Process durable medical equipment (DME) orders, as well as coordinate and manage DME... physician orders as required and be professionally responsible to nurse practitioners, Medical Director and Operations Manager...
/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive.../participation) -Micromedex utilization -Computer resources Communicates the patient/family's need for education/teaching...
all safety, risk management, and workplace policies. Coordinate clinical services under the guidance of the Medical Director... to: Medical Director Salary: Competitive, based on licensure and experience About Boca Recovery Center Founded in 2016, Boca...
-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...