and expanding utilization across key existing and emerging accounts. This role proactively identifies and develops high-value... physician, nurse, and technologist training and account in-servicing of dialysis access products. Provide product technical...
patient care review, including the design, testing and evaluation of the review methodology. Performs utilization and quality... across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous...
and issues to Case Review, Utilization Committee, Medical Director, and Director of Quality in compliance with department... the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization...
, utilization review, and discharge planning to reduce readmissions, improve outcomes, and enhance patient and caregiver... as needed Perform utilization review (UR) activities in alignment with departmental policy, including: Commercial payer reviews...
sources within the Brooklyn hospital system to expand our service line. Utilization Review: Conduct high-acuity Clinical...Join myLaurel as a Clinical Liaison in Brooklyn, NY. We are seeking a mission-driven Registered Nurse (RN), Social...
Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide direct patient care, patient triage (in-person... to clinic specialty, under the direction and supervision of a Physician or APP and documents results in EHR Performs review...
experience as a Registered Nurse Demonstrated experience in Care Coordination, Utilization Review, and Discharge Planning... care management operations within the Emergency Department. This role focuses on care coordination, utilization review...
in a Med-Legal review setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical...: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit...
in a Med-Legal review setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical...: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit...
(or Assistant Manager, Clinical Services, or Assistant Nurse Manager) will support the oversight of the clinical and operational..., and resource utilization Maintain and update Arthroplasty and Spine materials in collaboration with PD Collaborate with PD...
setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills... is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York...
improvement activities through effective utilization of services, initiation and maintenance of quality standards and program... development Directs the review, revision and development of Patient Care Services practices and standards of care Coordinates...
setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills... is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York...
, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts comprehensive review of all components...
of care from the hospital to home setting. Responsible for discharge planning, utilization review, team conferences and unit...: Registered Nurse with New York State Licensure or Master’s Degree in Social Work (MSW) from an accredited School of Social Work...
required Five (5) years of clinical experience in an acute care setting as an Inpatient nurse or Case/Utilization Manager preferred... and mentoring new and current staff with regard to compliant documentation. The lead also serves as a secondary review/escalation...
and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care... effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific...
to review upcoming work. Communicate schedule changes clearly to all stakeholders, including field leadership and customers... such as crew utilization, downtime, cost per job, and schedule adherence. Generate reports for Operations Leadership summarizing...
the discharge planning needs of the patients assigned to them and review cases for quality of care and utilization... for Medical Affairs, a successful employee must demonstrate competency in the following areas: Utilizes electronic Utilization...
the discharge planning needs of the patients assigned to them and review cases for quality of care and utilization... for Medical Affairs, a successful employee must demonstrate competency in the following areas: Utilizes electronic Utilization...