' conditions and reactions, reporting abnormal signs to physician Monitors equipment for proper functioning; repairs or arranges... a notification. Performance Aptitudes: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize...
/utilization management, coding/DRG, billing, auditing and various healthcare payers Preferred and Clinician preferred and/or CDIP... that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity...
of safe and quality patient care. Experience One year of experience in administrative or office management role (physician... and clinic support duties within physician operations to ensure efficient daily office operations and to support the delivery...
. Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.... Patient care experience preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED Licensed/Certified...
FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications... with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
Job Summary: Responsible for working collaboratively with physician partners to optimize quality and efficiency... of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
preferred. Previous experience as Charge Nurse or House Supervisor Preferred. May consider case management experience... coordination of health system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports. Maintains record keeping... preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED Licensed/Certified Allied Health Professional...
of residents after a written order received from physician · Screening of facility residents · Completes all necessary..., utilization review · In conjunction with Director of Rehabilitation, develop programs appropriate to the needs of the facility...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
, volume and utilization data. Coordinate with market partners to implement optimization strategies that drive operational... in Data Analytics, Business Administration or Healthcare Management. Three or more years of Patient Access experience...
with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract... negotiators and management on cost of care issues to help reduce costs without compromising quality of care. How you will make...
compliance with policies and procedures. Serve as a member of the management team in order to address problems associated... in policies and procedures and to give peer input to enhance and improve the management function. Supervise the maintenance...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
· Responsible for the evaluation and treatment of residents after a written order received from physician · Screening of facility... to family meetings, care plans, staffing, utilization review · In conjunction with Director of Rehabilitation, develop...
, and customer service. Partner with the physician chief to direct the overall clinical management of the service line... dollars to ensure proper utilization. Ensure appropriate information systems and databases are available to support service...