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The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. Perform initial prior authorization review of post-acute care services applying guideline criteria for approval and sending to Medical Directors if review is necessary for determining an adverse determination.
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Authorize post-acute care services in compliance with contractual agreements, health plan guidelines and medical necessity criteria. This position is responsible for timely review of request for post-acute services and based on established clinical guidelines and/or coverage benefits limitations, determine appropriateness of requested services.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Maintains clinical competency and current knowledge of community resources, post-acute care providers and payor requirements to perform job responsibilities. Understanding of pre-acute and post-acute venues of care and post-acute community resources.
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Service Provided includes IV and Parenteral Therapy, IV administration, cardioversions and transesophageal post operative care, chest tube managmenet & pacemaker care, Antiarrhythimic medication loading, Post Operative CABG Care, care of vascular patients, care of pre/post op cath lab and EP lab patients, negative air flow rooms (3) are available for isolation, and oral, tracheal, and nasotracheal suctioning as needed.
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As an Acute (Inpatient) Dialysis Nurse you'll provide specialty nephrology care within a variety of settings (ICU, CCU, ED and more). Acute (Hospital Services) Dialysis Registered Nurse.
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HCA MidAmerica Health is seeking a Registered Nurse (RN) Outpatient PreOp / PACU - Post Anesthesia Care for a nursing job in Kansas City, Missouri. Specialty: PreOp / PACU - Post Anesthesia Care.
$32 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Our culture and people are what set us apart from other post-acute care providers. Minimum one-year experience as a OTA in an acute care setting. Care and compassion are at the heart of what you'll do as an Occupational Therapist Assistant (OTA.
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As a Wound Care Nurse at Providence, you will also be consulted during a patients stay in a hospital for a wound or pressure injury, we are also consulted for ostomy care. We are seeking a Wound and Ostomy Nurse internally referred to as our Wound Care Nurse at Providence Medical Center a member of Prime Healthcare.
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Plan of Care: Provide skilled occupational therapy as ordered by the attending physician and observe and monitor patient conditions and notify the Occupational Therapist of any changes in the patient’s condition.
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PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.
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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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As a member of a multidisciplinary health team, the Social Worker acts as a liaison between the patient and community resources/post-acute care providers. The Social Worker creates and facilitates the timely implementation of discharge plans and arranges post-acute interventions identified in the plan of care.
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Report directly to the Administrator, Executive Director or Patient Care Manager Senior and function under the direction, instruction and supervision of the Registered Nurse and/or Clinical Supervisor.
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Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
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PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves.
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nurse acute care post jobs Title: registered nurse case manager Company: Medical City Plano Careers in Shawnee, KS
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