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Essential Duties & Responsibilities including but not limited to:1) Performs utilization review and discharge planning to inpatient admissions. -Case Manager experience as well as Utilization Review experience (review medical necessity and discharge planning)FLSA Status:Non-ExemptAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Case Management, discharge planning and utilization review experience preferred. Under the general supervision of the Director, nurses in the Utilization Management Coordinator role provide clinically-based case management to support the delivery of effective and efficient patient care.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Experience with Utilization Review and Discharge Planning. Experience with Utilization Review and Discharge Planning. Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after.
ExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Works with all facets of the Case Management continuum, i.e., social support, alternate resources, community referrals, discharge planning, Nursing Home/Skilled Nursing Placement and resource utilization.
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Case Management experience including utilization review and discharge planning preferred.is required. Current working knowledge of Rules/Regulations CMS (CoPs), ORYX Core Measures, and accreditation bodies (TJC & HFAP) preferred.
$79 - $84 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Monitors and affects as needed relationship between Business Office, Intake and Utilization Review departments to maximize patient revenue. Must possess a working knowledge of hospital financial operations, federal and local tax regulations; knowledge of all business office, accounting, payroll and other administrative office operations including all processes from registration through discharge.
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Informs, educates, supports, and evaluates patient/family response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan as necessary.
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Collaborates with healthcare team members, liaises with physicians, and participates in utilization review, discharge planning, and case management. Employee Assistance Program (EAP) including free counseling and health coaching.
$38 - $42 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of addictions and mental health with the ability to make a diagnosis, work with medical staff and complete vital information for Utilization Review. The SUDP/T will follow clients' progress from a clinical standpoint from admittance to discharge, keep Clinical Director informed on any issues/problems with any clients and perform all documentation in accord with state licensing requirements.
$50,000 - $56,000 a yearPart-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Documents in record after each session and supports information needed for Utilization Review criteria and the patient treatment plan. Primary services include Comprehensive Psychiatric Social History, group, individual, and family counseling, and discharge planning.
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The Utilization Review (UR) Nurse is a registered nurse responsible for applying standardized, evidenced-based, medical necessity criteria to form utilization review determinations, communicate relevant information to third party payors, and secure authorization to facilitate the patients treatment and discharge plan.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Prefer case management, utilization review, and/or discharge planning experience. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.
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Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Up to $10,000 Sign On Bonus available based on experience Summary Responsible for utilization review and discharge planning of all acute clinical areas. Up to $10,000 Sign On Bonus available based on experience Summary Responsible for utilization review and discharge planning of all acute clinical areas.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate.
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utilization review discharge jobs
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