- Luminis Health (Annapolis, MD)
- Luminis Health: Anne Arundel Medical Center Title: Team Leader RN - Cardiac OR Reports to: Clinical Nursing Director of the Operating Room and Surgeon Leader Cost ... coordinate the availability of supplies, instruments, and equipment; ensure appropriate utilization of these resources; and (to the extent possible) standardize use… more
- Yale New Haven Health (Waterford, CT)
- …This individual will serve as the link between the patient, medical oncology, radiation oncology, and medical infusion. EEO/AA/Disability/Veteran ... to date 15. Meets performance expectations for Customer Service, Teamwork, Resource Utilization , and Staff and Self Development as outlined in performance review… more
- University Health (Seguin, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families. EDUCATION/EXPERIENCE Graduation from an… more
- Fresenius Medical Care (Fitchburg, WI)
- …communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all ... systems as pertinent. STAFF: Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.… more
- Fresenius Medical Care (Greensboro, NC)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 0.50 Part Time Shift: Weekend Days… more
- Yale New Haven Health (New London, CT)
- …Charge Nurse. 8. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance ... Review . 9. Performs Other Duties As Assigned Or Directed...Internet For Literature Searches Regarding Care For Patients. EXPERIENCE Medical , Surgical, Oncology And Chemotherapy Preferred LICENSURE Valid State… more
- The Laurels of Bedford (Battle Creek, MI)
- …time frames. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician, nursing, ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator...At The Laurels, caring is more than providing excellent medical and guest services. It's also being a companion,… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * TREATMENT ... outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease… more
- The Laurels of Fulton (St. Johns, MI)
- …team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician, ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator...At The Laurels, caring is more than providing excellent medical and guest services. It's also being a companion,… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position… more
- Carle Health (Urbana, IL)
- … issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document ... with patient/family and physician to determine next level of care Conducts case review presentations to educate peers on unique or challenging cases and scope of… more
- Carle Health (Champaign, IL)
- …patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of care within… more
- Mercy (Turners, MO)
- …drug therapy. Serves as a drug information resource to pharmacy, nursing, and medical staffs as well as to patients. Performs duties and responsibilities in a ... therapy, serving as a trusted drug information resource for pharmacy, nursing, medical staff, and patients. The Clinical Pharmacist performs all duties in alignment… more
- Mercy (Village, OK)
- …drug therapy. Serves as a drug information resource to pharmacy, nursing, and medical staffs as well as to patients. Performs duties and responsibilities in a ... with our mission, values, and Mercy Service Standards. Primary Responsibilities: Review patient records to assess appropriateness of medication therapy Evaluate… more
- Mercy (Lebanon, MO)
- …with our mission, values, and Mercy Service Standards. Primary Responsibilities: Review patient records to assess appropriateness of medication therapy Evaluate ... documentation of medication plans and patient progress Routinely consult with medical staff regarding drug orders, side effects, and formulary considerations Stay… more
- Integra Partners (Troy, MI)
- …as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of ... representing Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities include but… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support ... and are committed to consistency, compliance, and evidence-based decision making. The Utilization Review Medical Director 's responsibilities include but… more
- CaroMont Health (Gastonia, NC)
- …MCO, Medicare, or RAC for reversal of original determination. May serve on the Medical Record/ Utilization Review Committee, providing detailed logs of ... medical necessity will be performed and documented in medical review , including daily status update while...NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management, Quality and/or Case… more
- AmeriHealth Caritas (Lafayette, LA)
- …Management experience, preferably in a managed care organization + Proficiency in Electronic Medical Record Systems and Utilization Review Systems (eg, JIVA) ... document and assess patient cases + Strong understanding of utilization review processes, including medical necessity criteria, care coordination,… more
