, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational skills Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...
, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational skills Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...
in Utilization Review or Case Management preferred. Less than 1 year Minimum 2 yrs. of recent experience in utilization management... in a Managed Care Organization or case management in a Managed Care Organization required. Certified in Utilization Review or Case...
in Utilization Review or Case Management preferred. Less than 1 year Minimum 2 yrs. of recent experience in utilization management... in a Managed Care Organization or case management in a Managed Care Organization required. Certified in Utilization Review or Case...
Coordination, Utilization review and discharge planning computer literacy. Associate's Degree (ASN, ADN) from an accredited...: 10:00 AM-6:00 PM Requirements: 5 years minimum of clinical experience as a Registered Nurse. Experience with Care...
assessment, care planning, utilization review, and discharge coordination to ensure quality, cost-effective outcomes. EHR... through regular outreach and intervene to prevent avoidable hospitalizations. Conduct utilization review and prior...
based on needs, and appropriate utilization of resources. Develop patient centered plan of care based on individualized... & other available population management registries to review site quality metrics, track aggregate data and identify at risk patients to target...
psychology, organizational psychology, health psychology, utilization review, guidance counseling, pastoral counseling... screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health...
Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager... rounds and participates in them. The Case Manager tracks and trends LOS, resource utilization , outliers, readmissions...
Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager... rounds and participates in them. The Case Manager tracks and trends LOS, resource utilization , outliers, readmissions...
satisfaction, and resource utilization Maintain and update Arthroplasty and Spine materials in collaboration with PD Collaborate... Competency and Practice Review policies, post-op education material, and education /medication for all clinical areas...
of the Middle Revenue Cycle and interdisciplinary care team and works in conjunction with the Utilization Review Manager... and mentoring Utilization Review, Clinical Documentation Integrity and Clinical Denials and Appeals teams. They ensure the teams...
utilization review of patients for appropriateness of setting using industry standard utilization clinical criteria including... of Health Patient Review Instrument (PRI) Assessor. 3 - 5 years Discharge planning and/or utilization management. Knowledge...
patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria... on clinical needs and available resources. Utilization Review: Maintains a working knowledge of the UR requirements...
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...
successful candidate supervises the utilization management in accordance with the Hospital Utilization Review (UR) Plan, in addition... and appropriate utilization of resources. Responsible for the coordination and maintenance of programs/processes necessary for the...
and external vendors regarding the types of customers appropriate for MLTC/MLTC MAP. Assists Assessment Unit manager in the review..., Utilization Management, Grievance and Appeals, Vendors and Care Management to resolve concerns that may hinder the assessment...
initiatives. Job Responsibilities: Improve exam room utilization throughout department locations and work with supervising... Nurse manager on exam room standardization strategies. Serves as backup for other practice managers as needed. Manages...
, financial and operational responsibilities of fellow Nurse Practitioners and Physician Assistants in the delivery of specialized... and objectives. Qualifications: Education: Graduate of an accredited Nurse Practitioner (Masters’ Degree) program Work...
, 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...