Description We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational time in our department. Work at the top of ...

Description The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their fa...

Description The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their fa...

. May participate on regional committees. Kaiser Permanente conducts compensation reviews of positions on a routine...

Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation’s best urban public research universities. Home to more than 5...

SSM Health is an Equal Opportunity Employer:Community Description:About SSM Health St. Mary's Hospital - Madison: SSM Health-Dean Medical Group, a 500-physician multi-specialty group, is actively recruiting a Cardiothoracic Surgery Physic...

Multi-Specialty Peer Review Committee Coordinator in San Francisco/Bay Area contract Opportunity! This Jobot Consulting Job is hosted by: Robert Reyes Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resu...

. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... scheduled quality reviews and audits per departmental policies and procedures (routine, pre-bill, policy driven, targeted...

and related documentation for compliance with applicable engineering codes, ordinances, and regulations; reviews as-built drawings... by constructed improvements. Reviews escrow draw amounts for contractor payments. Inspects, documents and reports damages due...

, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care... Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...

: This position requires a highly detailed individual with knowledge of regulatory guidelines and loan documentation. Reviews... Ensure completed lien searches and reviews Ensure loans are closing as approved and within lender authorities and policy...

reviews to assist with determining appropriate patient class designation. The UR Specialist will perform timely... and comprehensive reviews of the patient chart utilizing InterQual Criteria accurately in conjunction with the UR Department workflows...

of medical necessity reviews, clinical documentation to providers for authorization and concurrent review, and planned surgery... authorizations. Conducts periodic reviews of medical records to assess the appropriateness of care and services provided. Assists...

, such as MCG criteria to complete initial and continued stay reviews in determining appropriate admission and continued stay status... basis. Performs retrospective reviews. Reviews all commercial accounts daily or as per contract or payer expectation...

: This position requires a highly detailed individual with knowledge of regulatory guidelines and loan documentation. Reviews... Ensure completed lien searches and reviews Ensure loans are closing as approved and within lender authorities and policy...

reviews, prototype build readiness meetings, prototype builds, and onsite readiness reviews. You ensure designs are production... and supplier tasking Drive cost reduction and throughput improvement initiatives through participation in readiness reviews...

effectiveness. Primary Responsibilities and Essential Functions of Position: Compliance & Case Record Reviews Conduct record... reviews (manual and electronic) to ensure compliance with Heartshare policy, Medicaid, Office for People with Developmental...

thorough medical necessity reviews to assist with determining appropriate patient class designation. The UR Specialist... will perform timely and comprehensive reviews of the patient chart utilizing InterQual Criteria accurately in conjunction with the...

. This role is responsible for performing internal quality assessment reviews for inpatient and outpatient coding to ensure... across multiple medical specialties and body systems. Key Responsibilities Perform internal coding quality reviews for inpatient...

. This role is responsible for performing internal quality assessment reviews for inpatient and outpatient coding to ensure... across multiple medical specialties and body systems. Key Responsibilities Perform internal coding quality reviews for inpatient...