auditor is preferred Preferred and Prior experience of working in inpatient case management or utilization review is preferred... within 180 Days Reg Nurse (Single State)-Preferred or RN - Multi-state Compact-Preferred or Cert Coding Spec-Preferred or Cert...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
to facilitate the activities of the Utilization Review Committee and coordinates its activities with other key Performance... Affairs (VPMA) to impact quality, utilization, patient satisfaction and efficiency metrics through Performance Improvement...
utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan... of professional practice experience in an acute care setting. Minimum two (2) years of experience in utilization review, case...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies... of experience in utilization review, case management, and discharge planning preferred. Bachelors Degree in Nursing, Health Care...
· Experience in utilization review and/or quality assurance in a healthcare setting · Experience in conducting assessments..., and/or CLA services · Experience as a Registered Nurse/LPN, or licensed/certified professional in a related field or setting...
Experience in care coordination, case management, discharge planning and/or utilization review Previous leadership or management... field) Certification Summary Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the...
for SNF setting (as indicated) according to CMS criteria When H&C Transitions is delegated for utilization management, review... Review Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care. This position...
for SNF setting (as indicated) according to CMS criteria When H&C Transitions is delegated for utilization management, review... Review Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care. This position...
or utilization review is preferred Preferred and Required Minimum Skills: Strong understanding of disease processes, clinical... that reflects the appropriate utilization, clinical severity, outcomes, and quality for the level of service provided...
management or utilization review is preferred Preferred and Required Minimum Skills: Strong understanding of disease processes... the appropriate utilization, clinical severity, outcomes, and quality for the level of service provided to all patients...