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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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Partners with the UM Chief and KFH/TPMG local medical center leadership, to engage the following areas in the development and implementation of a comprehensive utilization management work plan to meet or exceed medical center targets: Physicians, managers across the continuum, and TPMG/KFH service leaders and managers.
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The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management and utilization management. 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
$52.46 an hourFull-timeExpandUpdated 12 days ago - UpvoteDownvoteShare Job
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Utilization Review RN Case Management. As a Utilization Review Nurse/Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Reporting to the Ambulatory Administrative Director, the ambulatory Practice Operations Manager is responsible for the direct management of the surgical scheduler staff, indirectly the ambulatory support staff and operational management of the Operating Room (OR) for Gynecology (GYN) surgical divisions within the Department of Obstetrics and Gynecology.
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Assists Building Manager monitor efficient occupant space utilization, energy and water conservation, sustainability and environmental hazards programs, and fire and security protection. Specialized experience is experience assisting in the management of a commercial office building(or equivalent non-housing high rise building) consisting of building mechanical system (i.e., HVAC, alarm systems, elevators, etc.
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The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.
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Projects with consideration for the goals and objectives of the MTF’s Utilization Management and Medical. Avosys is seeking a Registered Nurse in Utilization Management to provide outpatient services to the military and their families.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Partners with Health Services Administrator in supervising continuous quality improvement program, including patient grievances, sanitation, infection control, utilization management, pharmacy and therapeutics and assists in development of appropriate criteria.
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Blended Case Management Supervisor is responsible for assuring that the staff under their supervision are making every attempt to complete the documentation in a timely fashion and that it meets the general guidelines of legibility, it is signed, dated and that the content follows the DAP format and explains the nature of the contact.
$57,000 a yearExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Utilization Management (UM) Coordinator (CIDD) supports the comprehensive coordination of medical services including intake, screening, and referrals to Florida Community Care (FCC) care management and promotes/supports quality effectiveness of healthcare services.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. About Ciena Healthcare. Are you an experienced MDS nurse interested in the next step.
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