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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. Three to Five years experience in case management or utilization review or proven success as Registered Nurse Utilization Review I role.
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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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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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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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NYC Health + Hospitals is the largest public health care system in the United States. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception.
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Experience in utilization review, case management and/or managed care. Minimum of 1-2 years of utilization management experience, case management, managed care regulations; or any combination of education and experience, which would provide an equivalent background required.
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The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.
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Completes the MDS, CAA’s and care plans within regulated time frames. Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
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Utilization Management Nurse. Travel Virtual Care RN - Onsite, Unit Based. Youth Care Worker. Hillcrest Family Services. Houlihan's is a family restaurant located by.
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Innovating in health care for more than 125 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community.
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Coordinates, identifies, and/or initiates significant change MDS’ - 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 - Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements.
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Apply today for our Case Management RN opening and continue to learn Job Summary and Qualifications The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes.
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Support and assist the Pharmacist in the creation of education that will train members of the patient care team as well as CHPA staff, for medication adherence/utilization. The Pharmacy Tech Medication Adherence Specialist (Pharm Tech) supports CHPA members in meeting Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Star Ratings medication adherence and utilization measure goals.
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Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career We are interviewing candidates for our Case Management RN opening.
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Knowledge of managed care, including risk adjustment, affordability, quality, utilization management, care management, quality. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by focusing on value-based care, the Network Medical Director provides clinical leadership in the adoption of the key principles, tools, technologies, and clinical support services essential to the population health management of their designated market(s.
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family care utilization management jobs Title: rn case manager Company: Spartanburg Regional Healthcare System in Raleigh, West Virginia
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