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Support UHN initiatives and Quality Affordability Programs as required to achieve the appropriate inpatient and outpatient utilization and affordability goals of the C&S Health Plan and United Clinical Services/ UHC. The Plan CMO has oversight responsibility of the C&S market peer review process as defined by State regulator as well as participating in or leading the Peer Review committee.
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Psychiatric nurse, psych nurse, psychiatric RN, psych RN, psych LPN, mental health RN, LPN, RN, R.N., registered nurse, healthcare, health care, hospital, medical, patient care, mental health care, psychiatric care.
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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. 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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We invite you to listen to a message from our CNO who shares what it's like to be part of Team HMH at Jersey Shore University Medical Center: A day in the life of a Clinical Research Nurse at Hackensack Meridian Health includes: Assures that all protocol revisions, informed consents, continuing reviews, serious adverse events are submitted to the appropriate IRB of record in a timely manner.
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Experience as an MDS Nurse. Registered Nurse, RN or Licensed Practical Nurse. Assesses resident through physical assessment, interview and chart review. Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse.
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Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R.N., nursing, nurse, emergency, healthcare, health care, hospital.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. Are you an experienced MDS nurse interested in the next step? Registered Nurse (RN) licensure. Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.
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Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues.
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Job Description & Requirements Registered Nurse – Emergency Room - Travel - (ER RN) StartDate: 8/12/2024 Available Shifts: 12 D/N Pay Rate: $2125.78 - $2342.69 Saint Vincent has earned numerous national awards for patient safety as well in specialties like orthopaedic surgery, neurosurgery, pulmonary care, trauma care, and women's health.
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Position Summary: The Licensed Practical Nurse (LPN) functions under the general supervision of a physician, RN or appropriate health care professional in providing nursing care through the utilization of the nursing process.
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Monitors and manages key performance indicators for imaging outcomes for all sites (e.g. Contrast utilization, Reporting Errors, Peer Review, Correlation data, Pharmacologic usage versus exercise (nuclear and echo.
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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. At least 1 year Utilization Review or Case Management experience preferred.
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Provides regular communications to the Executive Director, Finance Department Administration and Revenue Integrity Utilization Review, Clinical areas, Compliance, Payor Operations, Central Billing Office, and Finance departments to mitigate denials and maximize revenue.
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The Clinical Research Associate I (CRAI) will work directly with a Clinical Research Coordinator, Research Program Administrator, Research Nurse, or Principal Investigator to coordinate and/or implement the study.
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MI Registered Nurse (RN) or Licensed Practical Nurse (LPN) Required. The RN provides quality patient care under the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of nursing care and patient/family partnerships on patient outcomes.
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utilization review nurse continuing jobs Company: Medical Solutions in AZ, Australia
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