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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. This includes communication with the Physician's admitting patients to a Children's Health System of Texas (CHST) facility and collaboration with the Physician Advisor during the review process.
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For nine consecutive years, Childrens Health has been recognized as one of the 150 top places to work in health care by Beckers Hospital Review. RN - Team Leader - Acute Care Services - Clinical Resource Team - NIGHTS.
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The Company invests with leading seniors housing operators, post-acute providers and health systems to fund the real estate and infrastructure needed to scale innovative care delivery models and improve people's wellness and overall health care experience.
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Methodist Charlton Medical Center is a 314-bed, full-service, acute care teaching hospital that serves Cedar Hill, DeSoto, Duncanville, and Lancaster in southwestern Dallas County. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others.
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RN Care Coordinators arrange and ensure all elements of the transition plan are implemented and communicated to key stakeholders including, but not limited to, the health care team, patient/family/ caregiver, and post-acute providers.
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Must have active certification as a Nurse Practitioner by one of the following: - Family Nurse Practitioner (FNP) by the American Nurses Credentialing Center (ANCC) - Pediatric Nurse Practitioner Primary Care (PNP-PC or PPCNP) by the Pediatric Nursing Certification Board (PNCB) or ANCC - Pediatric Nurse Practitioner Acute Care (PNP-AC) by PNCB - Neonatal Nurse Practitioner (NNP) by NCC OR Women's Health Nurse Practitioner (WHCNP) by National Certification Corporation.
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The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital. Registered Nurse - CardiologyHours of Work : 7am-7pm Days Of Week : 3 x 12 hour shift per week Work Shift : 12X3 Day (United States of America) Job Description : Your Job: Registered nurse renders highly professional and technical nursing care to assigned patients.
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Solid clinician skills with in-depth knowledge of all aspects of care coordination, long-term care, acute care, and pharmacy services. Facilitates integration of care coordination, long-term care, acute and pharmacy services.
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We also provide services at Methodist Richardson Medical Center - Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more.
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Requirements: Board Certification-Acute Care Certification required OR Graduate of a Master's degree or higher Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) accredited Physician Assistant program, Basic Life Support (BLS), and Pediatric Advanced Life Support (PALS.
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Minimum Specifications Education - Advanced Practice Registered Nurse (APRN): Master's Degree in Nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for - Physician Assistant: Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
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5-6 years Previous Case Management experience in an Inpatient/Acute Care Hospital Setting - Required. Case Management or Utilization Review Certification - Highly Preferred. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age related needs linking cost and quality to patient care.
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Teladoc Allied health plan members (and their dependents - even if not covered under your Allied health plan)can access free sick or acute care consults with board-certified physicians 24/7.
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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 Case Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing facility.
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acute care review jobs in Highland Park, TX
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