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Posted job title: Case Management (Utilization Review) Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Medford, Oregon.
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One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. Ie. Wound care, IV administration, medication management.
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
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The CM I performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The Case Manager I oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management.
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Discharge Planning, Utilization Review, Patient Care Coordination. 3-5 years acute care or care management nursing experience required. Industry experienced workforce management team.
$2,000 - $3,300 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization.
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American Registry of Radiologic Technologists / ARRT in Radiography. Computed Tomography / CT certification within one year of employment. Completion of a 24-month AMA approved School of Radiologic Technology.
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Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process.
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Prefer prior experience in case management, utilization review, or discharge planning. Utilization Management Conducts medical necessity review for appropriate utilization of services from admission through discharge.
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Develops, updates, and teaches curriculum, exercises and learning materials for clinicians in conjunction with the Learning & Development and Quality departments to improve on utilization management.
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Prior case management, utilization review, and discharge planning experience preferred. Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred.
$36 - $40 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Description Physician advisor reports to the System Medical Director for Physician Advisory services and serves as a resource to the utilization review and care management staff on medical necessity, level of care, patient care progression, and denial management.
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Perform complex specialized tasks associated with the operation of CT scanners and related equipment in accordance with prescribed radiation safety procedures. Assist radiologist with imaging procedures, starting IV's, and injecting contrast, if applicable.
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Department orientation includes review and instruction regarding Tenet Case Management and Compliance policies, InterQual, Transition Management, Utilization Management, and other topics specific to case management.
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Oversee the implementation and ongoing assessment of the patient’s plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Oversee the implementation and ongoing assessment of the patient’s plan of care through the management of home health aides, LPNs, RNs, and other caregivers.
$72,000 - $75,000 a yearExpandApply NowActive JobUpdated Today
review utilization management jobs
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