, one of which must have been in the area of utilization review, quality assurance, risk management or discharge planning...., Utilization Review and Discharge Planning Program at Westchester Medical Center. Depending upon assignment, incumbents may...
management initiatives. Collaborates with the Clinical Coordinator/Charge RN or Nurse Supervisor to ensure the aggressive... all facility employees receive appropriate trainings according to company policy including company risk management initiatives...
with strong care management, utilization review, and payer knowledge. A Case Management certification or obtain a Case Management... in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree will be considered...
of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing... be given to a registered nurse, with significant clinical experience, who holds a bachelor's degree in a related field...
) years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. A Case... in Nursing (BSN) or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years...
appropriate guidelines to meet the financial risk management goals of the company. Review detailed large claim reports... reports, case management reports, and utilization reports. Present and document a clear medical review summary...
management, utilization management and resource management. Organizes services across the continuum from pre-registration through.... Preferred: In depth knowledge of utilization management criteria, complex medical and surgical patients, reimbursement...
monthly quality care reports generated by IFH stats & other available population management registries to review site quality... licensures/certifications: Current NY State Registered Nurse (RN) or Certified Dietitian/Nutritionist (CDN) or Current Registered...
monthly quality care reports generated by IFH stats & other available population management registries to review site quality... education Required: Must have at least one of the listed licensures/certifications: Current NY State Registered Nurse (RN...
Health will be an experienced registered nurse leader, preferably with a certification in case management. Duties... Heart Association is required · Prior case management, utilization review, and discharge planning experience preferred...
, etc. Monitors monthly quality care reports generated by IFH stats & other available population management registries to review site... listed licensures/certifications: Current NY State Registered Nurse (RN) or Certified Dietitian/Nutritionist (CDN) or Current...
to review site quality metrics, track aggregate data and identify at risk patients to target for intervention Collaborates... listed licensures/certifications: Current NY State Registered Nurse (RN) or Certified Dietitian/Nutritionist (CDN) or Current...
of experience as an accredited claims professional, additional credentials such as a registered nurse or 5 or more years in the... safety/risk management in industry and/or insurance consultation with 5 years of direct clinical experience in healthcare...
. Provide continuous high quality customer service. Qualifications: Required Qualifications: Current NYS Registered Nurse.... Preferred Qualifications: Case Management/Utilization Certification. Five years Case Management/Utilization experience. Working...
. Provide continuous high quality customer service. Qualifications: Required Qualifications: Current NYS Registered Nurse.... Preferred Qualifications: Case Management/Utilization Certification. Five years Case Management/Utilization experience. Working...
. Provide continuous high quality customer service. Qualifications: Required Qualifications: Current NYS Registered Nurse.... Preferred Qualifications: Case Management/Utilization Certification. Five years Case Management/Utilization experience. Working...
edits to improve efficiency and reduce denials. Review payor communications, identifying risk for loss reimbursement..., reimbursement methodologies, and utilization management specialty areas by participating in professional organizations, seminars...
and patient safety. Participate in quality improvement, care management, risk management, peer review, utilization review.../coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program...
Company Description International SOS delivers customized medical and security risk management and wellbeing... in the identification of individuals requiring Case Management and the utilization of opportunities within the local...
Company Description International SOS delivers customized medical and security risk management and wellbeing... Surveillance Programs Assists in the review of new hires and their medical credentials. Personnel Management/Staffing...