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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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Proficiency in discharge planning, setting case management referral standards, reviewing utilization, and categorizing levels of care. Your job includes staying in contact with the patient's health plan and provider's care coordination departments.
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Offering pediatric patients a continuum of comprehensive post-acute medical care, inpatient rehabilitation, and outpatient rehabilitation following an acquired or traumatic brain injury, sudden accident, or illness, Nexus Health Systems is the national leader in physician-driven clinical neuroscience.
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To improve patient care, join projects to enhance care coordination and implement evidence-based procedures for best standards. Visit BSWHealth.com/Benefits to learn about all of our programs that supports mind, body and spirit Note: Benefits may vary based on position type and/or level Job Summary You will review patient cases for medical necessity and help establish inpatient and outpatient service suitability.
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Our hybrid care model combines telehealth and in-person care services, which allows our collaborative, multispecialty group to continue to forge solid connections, provide accessible, affordable care, and elevate the healthcare experiences of seniors in post-acute settings.
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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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HealthDrive delivers on-site primary/post-acute care, behavioral health, dentistry, optometry, podiatry, and audiology services to residents in long-term care, skilled nursing and assisted living facilities.
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Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health or Women¿s Health Nurse Practitioner.
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Minimum Specifications Education 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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The Intensive Case Manager provides focused, collaborative home study services to unaccompanied children and their sponsors to ensure and support the safe and timely release from federal care. MSW candidates must have at least 3 years of experience (at least 5 years of experience if applicant holds a BSW) working with children and youth, family reunification/preservation, and or foster care/child welfare and previous work experience and interest working with foreign born populations is required.
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Mother/Baby RNs carefully monitor both patients, providing care and watching for any post-birth complications that may arise. Mother/Baby RNs also help counsel new parents on the first steps of infant care prior to their release from the hospital.
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Ten or more years of financial services credit review/credit risk management experience through: past work in credit/loan review, credit risk management, internal audit credit risk coverage, commercial loan underwriting departments at large banking institutions; regulatory agency credit review/credit risk experience; or credit review/credit risk experience at a large consulting firm.
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Support internal QA/QC of base maps, terrain, flood risk database, floodplain mapping, preliminary production, and post-preliminary processing, in addition to FEMA Quality Reviews. Support FEMA Mapping Information Platform (MIP) deliverable compilation and review within a flood risk study lifecycle.
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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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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. Currently licensed in good standing as a Respiratory Care Practitioner by Texas Medical Board.
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acute care post utilization review jobs Company: Practicelink in Irving, TX
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