advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes... Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization...
in patient care conferences as scheduled. Immediately reports to RN, Clinical Director/Clinical Manager any patients’ incidents... and evaluates the plan of care in partnership with the patient, representative (if any), and caregiver(s). Participates in patient...
plan. The SW Clinician will also be the primary Case Manager for the detox patient on the medical floor assuring discharge... of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders...
focused patient education using established content and tools. Uses clinician approved and appropriately documented standing... about recommended or available services and contacts. Personalized Primary Care. Support Patient in Self-Management and Behavior...
plan. The SW Clinician will also be the primary Case Manager for the detox patient on the medical floor assuring discharge... of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders...
information to central scheduling, financial counselors or care management for utilization review. In the event of an admission... in and or outpatient procedures. Works closely with insurance verification staff, care management and patient access regarding payer...
desired. Experienced clinician with current licensure/certification in preferred area of specialty (RN, LVN, RT... between system functionality, patient care disciplines and practice, and the IT department as it relates to CIS. Primary...
management for longitudinal engagement, coordination for discharge planning, transition of care needs and outpatient patient... inpatient cases and participates in departmental huddles Demonstrate knowledge of utilization management processes and current...
with chart review and/or auditing preferred (i.e. utilization management, case management, discharge planning, etc.). Experience.... Â This documentation clarification improves overall patient quality, as well as maximizes the capture and reflection of the acuity of the...
utilization. Regularly reviews established benchmarks (incl. cFTEs) to monitor clinician productivity and make recommendations.... Participates in clinician relation and leadership development programs. Is responsible for management of physical and facility...
Health Case Manager is responsible for case management and utilization review of behavioral health and substance abuse... with the Interdisciplinary Care Team, which includes the Optum clinician, the member’s Primary Care Provider...
Health Case Manager is responsible for case management and utilization review of behavioral health and substance abuse... with the Interdisciplinary Care Team, which includes the Optum clinician, the member’s Primary Care Provider...
and professional development activities with special emphasis on patient care and nursing professional development. Educational... Professional Practice Model, Mission, Values, and Safety behaviors while focusing on patient and family centered care and aligning...
skills and nursing judgment and experience. Collaborates with case management nurses on discharge planning, ensuring patient... with case management. Collaborates with leadership in enhancing training and orientation materials. May complete quality...
skills and nursing judgment and experience. Collaborates with case management nurses on discharge planning, ensuring patient... with case management. Collaborates with leadership in enhancing training and orientation materials. May complete quality...
/utilization management, coding/DRG, billing, auditing and various healthcare payers Preferred and Clinician preferred and/or CDIP... management team, nursing team, other patient caregivers, and HIM coding team. - Reviews medical records concurrent...
. Lucie, Broward, or Miami-Dade counties, FL. The LTSS Clinician works under the direction/supervision of an RN..., and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits...
interdisciplinary team to attain high quality patient care outcomes and leading integration of clinical practice and applications... primary responsibilities include: • Represents the bridge between clinical practice and IS/IT to transform patient care...
safety and quality. Leader in the field of patient services management who is well-versed in best practices in nursing... Management Protocols, and other best practices in performance improvement and quality management. Dynamic patient care services...
safety and quality. Leader in the field of patient services management who is well-versed in best practices in nursing... Management Protocols, and other best practices in performance improvement and quality management. Dynamic patient care services...