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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. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
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Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care.
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2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
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The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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An RN with a bachelor’s degree in Business, Health Care Administration or equivalent on the condition that they enroll in a BSN program within one year of employment and complete the BSN within three years of employment OR Master’s Degree in Social Work, Counseling Psychology, Clinical Psychology, Family and Marriage Therapy, Mental Health Counseling, Health Administration, or other related fields.
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Responsible for managing all facets of care and utilization of high risk psychiatric and addiction medicine patients. Preferred Qualifications:N/ANotes:Developmental Case Manager ASD ADHD Develop comprehensive care plans.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
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Openings: 0.8 to 1.0 FTE - Flexible scheduleAs a Pioneer Accountable Care Organization (ACO), our physicians use a multidisciplinary team approach in managing clinical care. OverviewFairview Health Services is seeking a Family Medicine physician to join our primary care practice at M Health Fairview Clinic – Princeton.
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As a member of the Utilization Management Team, the Utilization Management Specialist II impacts the delivery of care at the system level through direct utilization management, feedback of performance data, training, and supported consultation.
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At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services OR Behavioral Health Case Manager - Autism Minimum two (2) years recent experience in case management and working with community resources, specifically related to the assessment, diagnosis and intervention of Autism Spectrum Disorders.
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Tasks include facilitating Family Support Team meetings, development of individualized care (treatment) plans, coordination of individualized services across all settings, coordination of providers working in the home, school, and community environment and documentation of support related activities and services.
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The CCMHC is responsible for providing triage, clinical assessment, direct diagnosis of mental health disorders in conjunction with DSM, ICD-10 and Collaborative Care and/or Psychotherapy codes, psychoeducation to patients and primary care providers, care coordination, case management, direct evidence-based psychotherapy, treatment plan formulation and updates, crisis coordination, and relapse prevention planning.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Central City Concerns Blackburn Center is a six-story building that includes a health care facility and pharmacy, along with 175 units of respite care transitional housing, palliative care housing, transitional low-income single room occupancy and permanent housing.
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Some type of leadership or supervisory experience is required, MUST have Case Management experience in an acute care setting. As part of the HCA Healthcare family, the largest healthcare provider in the world, Orange Park Medical Center provides the opportunity to develop your career alongside more than 1,500 team members and 750 physicians on staff.
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family care team utilization management jobs Title: rn case manager care coordination in Raleigh, West Virginia
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