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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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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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2 years 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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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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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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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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On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care.
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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 Foster Care Case Manager promotes effective utilization of support services to achieve permanency for children and families. 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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As a member of our Division of Nursing's (DON) leadership/management team, you will play a pivotal role in shaping the future of patient care in this specialized field. · Competitive Comprehensive Benefit Plan. Qualifications · Bachelor’s degree in Nursing (Master’s preferred) · DC RN License · Minimum of five years of nursing experience · Two years of nursing leadership experience preferred · Strong interpersonal and communication skills If you are ready to make a significant impact on patient care and lead a dynamic team of nurses in a cutting-edge environment, we invite you to apply for the Nursing Director position at MedStar Washington Hospital Center.
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With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
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The Family Experience Director is responsible for providing overall leadership and management of the Assisted Living and/or Memory Care. This position promotes and integrates the philosophy of Phoenix Senior Living to incorporate wellness in all aspects of the seniors' lives we serve through ensuring all dimensions (emotional, sense of purpose, physical, social, intellectual and spiritual) are incorporated into the services we provide and embrace.
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You will oversee utilization management process including verification of insurance coverage, pre-authorization, resource management and overall management of patients within the continued stay criteria.
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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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The team also provides chronic care management, including care coordination and health coaching for anxiety and depression, back pain, diabetes, high blood pressure, and more.
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family care team utilization management jobs Title: rn case manager Company: Unitedhealth Group Inc in Raleigh, West Virginia
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