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Maintains knowledge of current concepts, research needs and research strategies related to case management, utilization review and discharge planning. The Care Coordination Nurse is responsible for ensuring the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care.
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Family Experience: Visit our website: The Care Coordination Nurse is responsible for ensuring the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care.
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Contribute to the firm's Technical Knowledge Management TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. CDM Smith is one of the world’s top design, program management and construction management firms, providing innovative and creative solutions for our federal clients and assisting them in achieving successful outcomes on their water, infrastructure, environmental, and transportation programs.
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Working across Case Western Reserve University and with the appropriate affiliate staff representatives, monitor, review and approve various crossbills and reports with University Hospitals, the Cleveland Clinic and MetroHealth Medical Center to ensure accuracy and funding availability.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Communicates outcomes with Case Management Coordinator, Registration, Pre-Certification, and the Business Office. Learns new information to provide for a safe patient care environment, effective utilization review, strategies to reduce and combat denials, and effective care transitions management.
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Case management, Nurse. Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
$44 - $45 an hourExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available.
$19.52 - $42.07 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Partner with procurement for appropriate contract review and vendor management practices. Manage the digital capability/product roadmap and life cycle for assigned digital capability/product group, including but not limited to ROI analysis, conduct market research, define market targets, product position, business case validation, IT feasibility, devise and execute launch plans to:Increase revenues, decrease costs, and extend relationship life.
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The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding.
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Contract review and management. Provide monitoring reports and customer satisfaction results to senior management and keeps senior management informed as to the status of program case management and performance.
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Optimize cooling and electrical distribution for optimal PUE Schedule, manage and document vendor provided preventive maintenances per the manufacturer's specifications of all equipment Review and approve all facilities maintenance tasks/MOPS when required as part of change management system Oversee and monitor all facilities record keeping Maintain accurate site documentation such as maintenance records, power consumption, temperature trends, PUE trends, etc.
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Via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity.
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Minimum Class Qualifications for Employment: Any equivalent combination of relevant training and experience including but not limited to: Associate's degree in social science or related field with five (5) years of quality control review experience.
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Under the direction of the Director of Inpatient Coding and Compliance, the Senior Coding Education and Data Consultant assists in determining controls and monitors risk areas or changes to review risk management and ensure compliance with documentation and coding regulations.
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