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Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)Weekend Shift: Saturday & Sunday (Hours: 7pm-7am) Newark, DEChristiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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Case Management/Utilization Review skills required: Admission Criteria, Benefits Eligibility, Care coordination, Discharge Planning, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Prior Authorizations, Worker’s comp case management.
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Preferred)Required Licenses and CertificationsRegistered Nurse (RN) license from the District of Columbia Upon Hire (Required)Specialty Certification- CCM (Preferred)Required Skills/Knowledge Knowledge of best practices as it relates to admissions processes, utilization review, discharge planning, case management, social work, care coordination and denial prevention and recovery methodologies.
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In addition to performing functions of Document Management Technician, performs moderately complex litigation support tasks, including, for example, detailed review and analysis of case materials in a broad range of subject matters, such as financial records, health care materials, and other litigation files; detailed indexing of case files; drafting procedures for accomplishing litigation support assignments; document acquisition related tasks; and conducting database searches.
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Supervises the Case Management Staff in performing utilization review in accordance with guidelines and regulations established by the hospital board, Administration, Medical Staff, accreditation and certification agencies, and Federal and State governments.
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Under the direction of the VP Case Management & Continuing Care, the National Director, Central Utilization Review (UR) is responsible to oversee the development, implementation and performance management of Utilization Review services performed across all Tenet acute hospitals.
$191,568 a yearFull-timeRemoteExpandApply NowActive JobUpdated 7 days ago - 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.
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Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred. Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.
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The Manager-Care Management & Utilization Review, under the supervision and in collaboration with the Director, is responsible and accountable for the operational management, leadership, professional development and quality assessment and improvement activities of the department, particularly the Care Managers.
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Christiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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Creates, coordinates, implements and manages organizational tracking systems for large and complex document collection, review, analysis, and case management both on and off-site.
$137,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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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Manages the activities of RN Case Managers for in inpatient care coordination and utilization review. The RN Manager is responsible and accountable for the operational management, leadership, professional development and quality assessment and improvement activities of the department, particularly the Care Managers.
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FTI Technology utilizes modern review platforms for native document review and case management. Our practice primarily provides professional consulting services to corporations and law firms for coordinating document review and production using Relativity and/or Nuix Discover.
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Recent acute care, case management, or home health experience preferred. Two (2) years of utilization review experience required. Reviewing documentation to support the written notice to include review of clinical documentation by the appropriate professional.
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review care case management jobs in Silver Spring, MD
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