Health or from Harris County taxpayers. Skills / Requirements JOB SUMMARY The UM RN will perform utilization review... recognized evidenced based clinical criteria and/or internal policys, protocols, and procedures. The UM RN will screen and review...
of case management, utilization review and management, and discharge planning. Essential Functions: Care Coordination... and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs...
with utilization review, member services and the quality improvement department. MINIMUM QUALIFICATIONS: Education/Specialized... Training/Licensure: RN, current Texas License CCM required or must receive within 18 months of employment. Work Experience...
with utilization review, member services and the quality improvement department. MINIMUM QUALIFICATIONS: Education/Specialized... Training/Licensure: RN, current Texas License CCM required or must receive within 18 months of employment. Work Experience...
with utilization review, member services and the quality improvement department. MINIMUM QUALIFICATIONS: Education/Specialized... Training/Licensure: RN, current Texas License CCM required or must receive within 18 months of employment. Three years...
is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review... utilization of resources by every patient to assure cost effective delivery of services. Controls and is accountable...
and interpretation of regional and facility-specific data and CDI audits Record Review: As needed, completes initial medical records... of mortality and severity of illness; and (b) initiate a review worksheet. Conducts follow-up reviews of patients every 2-3 days...
utilization of preference cards and ability to anticipate your surgeons needs Coordinate and oversee your room during a case... and medication, including assistance with anesthesia Consistently review your charts for completeness, in accordance...
dollars to charitable organizations. Apply Today! Job Summary and Qualifications The RN case manager is responsible..., and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in...
this role: Oversee the instrument and equipment set-up for your OR, including utilization of preference cards... and OR tables to prevent injury Manage your patients care and medication, including assistance with anesthesia Consistently review...
and reporting hospital utilization of resources through concurrent review according to pre-established guidelines and criteria... a(an) Case Management Supervisor RN to join our healthcare family. Benefits Texas Orthopedic Hospital, offers a total rewards...
and family education, payor relations and total fiscal management. The CCM performs ongoing utilization review and acts... of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes...
experience in care management, utilization review, managed care, or clinical operations experience. Experience must be in... as they relate to care management and utilization review. PREFERRED: Case Management Certification preferred. Supervisory...
utilization of organization’s financial resources You will advance the growth agenda for Surgical Services You will strives... and Value Statement” You will perform other duties as assigned Qualifications 3 years of RECENT ACUTE CARE Manager OR RN...
standing meetings to review performance, identify areas of opportunity, and oversee course for improvements (Supervision... Counseling, or Licensed Ph.D., or an RN with 2+ years of experience in behavioral health Active, independent, and unrestricted...
, along with management, changes. Coordinate with other personnel managers and with physicians. Review departmental procedures, and evaluate... security and accuracy of the patient record pertaining to cardiovascular procedures. 8. Responsible for review and update...
adequate coverage and provides maximum utilization of manpower based on patient acuity and staffing guidelines... operations, including purchasing and marketing. May prepare the annual budget for department-level review and approval. May...
for Utilization Review product(s) used. Able to apply clinical guidelines to ensure progression of care. Must have critical thinking... our hospitals and out in the community. Responsibilities The RN Care Coordinator is responsible for overseeing the progression...