- Northeast Georgia Health System, Inc (Gainesville, GA)
- …to admissions of patients, provision of service information and liaison activities with inpatient and outpatient institutions and groups identified as sources ... needing immediate attention. Consults with Medical Director and agency management staff regarding difficult/unusual patient situations that require further… more
- Newport Healthcare (Port Townsend, WA)
- …not limited to evaluation/assessment; medication therapies and medical management ; psychotherapy and counseling; parent/consumer education; record keeping; ... weekly and as needed. Direct care encounters may include prescription and management of medication, order and interpretation of labs, order of consultations or… more
- Adventist Health (Glendale, CA)
- …by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, ... Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- ERP International (Tinker AFB, OK)
- …and Tasks: Duties may include but are not limited to** : Provides Utilization Management activities and functions by using MTF-specific Quality Improvement ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...nursing case management with social work case management . * Maintain liaison with appropriate community… more
- Genesis Healthcare (Hanover, NH)
- …recent clinical experience is required. Must have a valid driver's license. Utilization review, case management , and discharge planning experience is preferred ... Memorial and NH state Hospital Systems. Join the Genesis team as a Clinical Liaison - RN where your marketing/sales and clinical skills will be fully engaged.to… more
- Guthrie (Sayre, PA)
- Position Summary: The Utilization Management (UM) Reviewer, in collaboration with other internal and external offices, payors, and providers and staff, is ... responsible for the coordinates Utilization Management (UM) processes and requirements for...the level of care or service for hospital inpatient admissions and short procedures by translating clinical information to… more
- ProgenyHealth (Elk Grove Village, IL)
- ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization , ... for the members. The clinical care nurse serves as a nurse reviewer for admissions , lengths of stay and a facilitator for discharge planning. This position functions… more
- Universal Health Services (Highlands Ranch, CO)
- …partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com The Utilization Review Coordinator possesses knowledge of psychiatric clinical ... illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and… more
- Universal Health Services (San Antonio, TX)
- …criteria, programming, data, and administration & admission process to generate desired utilization / admissions to the facility's continuum of care. To provide ... : + Develop and implement strategic military and VA referral account management plans that support the facility clinical resources, resulting in admissions… more
- Genesis Healthcare (Dover, DE)
- …for life. We're currently seeking a Clinical Admissions Director - Hospital Liaison (focusedon Referral Management ) to join our extraordinary team.* Are you ... to these questions, then WE WOULD LOVE TO HEAR FROMYOU! The Clinical Admissions Director plays a vital role in leveraging existing relationshipsto generate referrals… more
- Somatus (Milwaukee, WI)
- …accessing resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to ... leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as...ongoing conversations and plans to address areas to reduce admissions and cost utilization + Other duties… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... supervision of the Regional Manager, the **Clinical Documentation Quality Liaison ** is responsible for promoting high-quality clinical documentation by collaborating… more
- Corus Health (Albuquerque, NM)
- …Corus is currently seeking an energetic, connected, and organized Hospice Community Liaison to join our marketing team. This individual is responsible for providing ... and evaluating service information related to admissions utilizing clinical knowledge and expertise to determine patients who would benefit from our hospice… more
- McLaren Health Care (Bay City, MI)
- …for the appropriate level of care; may include admission/transfer reviews, utilization reviews, and surgical schedule reviews. 3. Employee facilitates acute rehab ... admissions for those referrals that are appropriate for admission...network. Provides reporting trends and activity to the rehab management team to develops strategic initiatives for market development… more
- Spokane County (Spokane, WA)
- …Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization management , utilization review, or concurrent review of ... of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge....substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. +… more
- Beth Israel Lahey Health (Plymouth, MA)
- …4) reducing readmissions. **Functions and Responsibilities:** **A. Utilization Management ** + Performs review of anticipated admissions utilizing InterQual ... This role is structured around four major functions + Utilization Management + Care Coordination + Discharge...admissions for social reasons + Functions as a liaison between the DEM and community-based resources on an… more
- Rush University Medical Center (Chicago, IL)
- …options and management of adverse events. 4. Serves as a liaison between practice and referral sources 5. Participates in quality metric initiatives supporting ... 3.Establishes and maintains expertise regarding disease, staging, current treatment options and management of adverse events. 4.Serves as a liaison between… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Logan Health Wellness & Pain Management is proud to offer some of the most comprehensive pain and wellness care in the United States. This ... and experience in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate a range of… more
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