required Experience 5-7 years Experience in clinical operations management. required Licenses and Certifications RN - Registered... from the EMR, etc. Manages priority projects. Supports Senior Director in financial planning, budgeting and expense management...
and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR... resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
V-Tech Solutions, Inc. is looking for a Case Management Utilization Review Nurse to support our client. The... for our patients. Collaborating with interdisciplinary teams, the case management utilization review nurse will address psychiatric...
. (Utilization Management (UM) area). Processes pre-authorizations for medical necessity, LOC, covered benefits, and participation... of the provider. (Utilization Management (UM) area). Performs telephonic inpatient utilization review services...
of Utilization Review /Case Management: The Director will have 24-hour 7 day a week responsibility for the operational management... and assesses and ensures competency and active license status (if appropriate) of the clinical staff Utilization Management...
of Utilization Review /Case Management: The Director will have 24-hour 7 day a week responsibility for the operational management... and assesses and ensures competency and active license status (if appropriate) of the clinical staff Utilization Management...
. (Utilization Management (UM) area). Processes pre-authorizations for medical necessity, LOC, covered benefits, and participation... of the provider. (Utilization Management (UM) area). Performs telephonic inpatient utilization review services...
, Case Management, Disease Management and Utilization Review standards, as per MFC policies and procedures. Develops... with the Manager of Case Management and Manager of Utilization Management in development of the annual Clinical Operations Plan...
regulations. Conducts monitoring of compliance of Special Needs, Case Management, Disease Management and Utilization Review... of Utilization Management in development of the annual Clinical Operations Plan and the Clinical Operations Appraisal. Provides...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... his/her Social Worker or RN practice through formal education, attendance at workshops and conferences, active participation...
required Experience 5-7 years Experience in clinical operations management. required Licenses and Certifications RN - Registered... from the EMR, etc. Manages priority projects. Supports Senior Director in financial planning, budgeting and expense management...
and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR... resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical...
and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR... resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
-4 years Utilization Management or related experience required, 5-7 years diverse clinical experience required, and 3-4...V-Tech Solutions, Inc. is looking for an RN Case Manager to support our client. The qualified candidate will manage...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary... and accreditation regulations. Actively develops and manages complex case management cases and develops individualized plans of care...
management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary... and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...