within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization... regulatory requirements and established departmental policies and procedures, utilization and clinical/performance standards...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization... regulatory requirements and established departmental policies and procedures, utilization and clinical/performance standards...
within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization... regulatory requirements and established departmental policies and procedures, utilization and clinical/performance standards...
within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization... regulatory requirements and established departmental policies and procedures, utilization and clinical/performance standards...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge... City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical...
related field: Preferred Experience in case management, utilization management, and/or transitional care: Preferred... Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings...
, and improve health outcomes for older adults. If you are a mission-driven Registered Nurse looking to make a meaningful difference... management and follow-up needs. Collaborate with the Medical Director and interdisciplinary team (IDT) on hospital admissions...
goals. - Review management, productivity, and financial reports and studies to ensure program objectives... other duties as assigned by management. - Medical Necessity Reviews: Conduct reviews of clinical services to determine medical...
Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager..., CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse...
Job Summary: Responsible for the administrative and business management of a small (less than 20 FTEs) or medium size... (less than 50 FTEs) department providing ambulatory patient care services. Through clinical nurse supervisors and/or assistant...
The Operating Room Technician (ORT) Supervisor, under the guidance of the Registered Nurse, is responsible for the care... budget. Makes recommendations that enhance resources utilization within the department. Resources utilization will include...
) and Patient Support Services (PSS) multidisciplinary team, providing non-medical case management activities and services to HIV... utilization, including medical co-morbidities, sexual risk behaviors, substance use history, mental health status, housing...
or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management... Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation...
Job Summary: Responsible for the administrative and business management of a small (less than 20 FTEs) or medium size... (less than 50 FTEs) department providing ambulatory patient care services. Through clinical nurse supervisors and/or assistant...
required, including three (3) years of management, supervisory or leadership* experience. Additional Requirements: Knowledge of Nurse..., quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care...
care delivery. Ensures compliance with organization policies/procedures and regulatory agencies; effective utilization... and budget reporting requirements. Advises management of serious variances. Recommends and implements solutions. Supervises...
Experience in case management, utilization management, and/or transitional care: Preferred Licenses/Certifications...), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. Practices...