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Participates in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as daily stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
$120,000 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management. Qualifications Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
$36.42 - $60.33Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Participate in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
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Prestige Care is a family of over 75 skilled nursing + post-acute care centers, as well as assisted living and memory care communities in 8 Western states. Review nursing care plans for each resident that meets the individual needs of the resident and the physician recommendations.
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Once you master this role, you could consider the Director of Nursing, Health Services Director (Assisted Living), or other regional nursing roles with Prestige Care. Why join the Prestige Care Family in the Resident Care Manager (RN) – MDS Nurse role and what can we offer you.
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Once you master this role, you could consider the full time travel Director of Nursing, a Resident Care Manager or Director of Nursing role at one of our skilled nursing care centers, the Health Services Director (Assisted Living), or other regional nursing roles with Prestige Care.
$55 - $58 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review coordinator performs activities which support the Utilization Management functions. Peace is hiring Utilization Review Coordinators! They process payor denials and retro reviews, promote optimal health care outcomes in accordance with the policies, procedures, applicable laws and contracts, philosophy, mission, and values of UofL Health, assumes responsibility and accountability for the appropriate utilization of facilities and services and serves as a resource to physicians.
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Why join the Prestige Care Family in the Resident Care Manager (LPN) – MDS Nurse role and what can we offer you? What does the Resident Care Manager (LPN) – MDS Nurse do? Once you master this role, you could consider the Director of Nursing (with additional schooling), Health Services Director, or other regional nursing roles with Prestige Care.
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Prestige Post-Acute Rehabilitation Center- Kittitas. Implement the established plan of care and delegates in accordance with scope of practice in collaboration with the physician, Director of Nursing Services, clinical team members, social services, physical therapy, the resident and the resident’s family by tailoring care to meet individual needs of the resident.
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Two (2) to four (4) years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population in the home or post-acute care setting, etc.
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Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.
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Provides analysis and education regarding regulatory and clinical changes impacting inpatient and post-acute care processes and reimbursement. Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Contribute to resident care conferences and under the supervision of the RN or DNS, evaluates the interdisciplinary plan of care for each resident. The beauty of small town living is the warmth that the surrounding community brings to our care center.
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Prestige Care is about people helping people, and is rooted in a philosophy of caring based on our core values - respect, integrity, commitment, and trust - that are at the center of all we do.
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acute care post utilization review jobs Company: Practicelink in Fernley, Nevada
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