Utilization Review Nurse - Psych RN Experience Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Functions: Chart Review Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Denial Management Monitors and identifies patterns or trends in utilization management. Care Coordination Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. Qualifications/Requirements Education/Knowledge: Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field Education Discipline: Minimal degree requirement: Bachelor of Science in Nursing. Experience: 3-5 years. Psych RN Experience Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently Certifications, Licenses, Registrations: Maryland Registered Nurse License American Heart Association BLS Certification LifeBridge Health
...HEALTH PROFESSIONAL PACKAGE TO INCLUDE BUT NOT LIMITED TO: ~ Holiday Pay : New Years Day, Martin Luther King Jr. Day, Memorial Day... ...Independence Day, Labor Day, Veterans Day, Thanksgiving Day, and Christmas Day ~ Medical/Dental/Vision Insurance ~ Life Insurance ~...
...ServiceNow Architect Discovery, Service Mapping and Integrations Experience : Minimum of 10 years of professional IT experience with at least 4+ years of hands-on experience with ServiceNow . Demonstrated experience in implementing and managing ServiceNow...
...Qualifications The minimum qualifications for a Speech Pathologist Assistant: ~1 year of verifiable, professional experience as a SLPA within the last 3 years (may include residency or clinical practicum)~ Valid SLPA license or in process in the state of practice...
...Details Department: Sterile Processing Schedule: Full-time, rotating shifts Tuesday - Friday: 12:30pm - 11:00pm Minimal on-call duties requires. Holiday availability is required in rotation. Hospital: Ascension Sacred Heart Bay Location: Panama...
...DESCRIPTION Amazon Fulfillment Technologies (AFT) powers Amazons global fulfillment network by designing and building the software... ...will work with our Engineering teams as we partner with Robotics, Fulfillment/Supply Chain, Science and Hardware Engineering teams...