- Las Palmas Medical Center (Socorro, TX)
- …and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization ... case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical decision… more
- HCA Florida Largo Hospital (Largo, FL)
- …and satisfaction.You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. What ... of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no...personal growth, we encourage you to apply for our Case Manager RN opening. We promptly review … more
- Houston Methodist Hospital (Houston, TX)
- …units.Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess ... At Houston Methodist, the Case Manager (CM) position is a registered nurse...for quality, patient satisfaction and safety measures.FINANCE ESSENTIAL FUNCTIONSPerforms review for medical necessity of admission, continued… more
- Merck & Co. (North Wales, PA)
- …to enable the discovery, development, regulatory approval, manufacturing, and marketing of medical drugs and vaccines for the benefit of patients and global human ... production of Study Data Tabulation Model (SDTM) datasets.Design and develop complex programming algorithms and user interfaces.Supporting project teams in creating… more
- Ascension (Tulsa, OK)
- …medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.Assist departmental ... Utilization ManagementSchedule: FT, Monday - Friday, 9am-5pmHospital: Ascension St. John Medical CenterLocation: Tulsa, OKBenefits Paid time off (PTO) Various health… more
- Ascension (Milwaukee, WI)
- …orthopedic, gynecologic and obstetric surgeries, along with patients that have complex medical diagnoses, respiratory failure, endocrine and metabolic ... Details Department: Medical Surgical ICUSchedule: 12 hour shifts; 7P-7A; RN's...our patients deserve. Daily multidisciplinary patient rounds support the review of patient care goals in a collaborative and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …supervision to solve complex study problems. Responsibilities Protocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... complex studies including study design, protocol development, CRF review , SAP development, analysis files development, statistical analysis accuracy validation,… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …under supervision to solve complex study problems.Responsibilities:Protocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …some supervision to solve complex study problems. ResponsibilitiesProtocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Merck & Co. (North Wales, PA)
- …diverse marketing opportunities.Proficiency in a highly regulated environment (with medical /legal review processes), including bring materials through legal, ... vaccine franchise.- The HPV vaccine is in a highly complex market while being a key growth driver for...tactics and resources to address the opportunities.Collaborating with Global Medical and Scientific Affairs (GMSA), US, Senior Director of… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …US East Coast Development Hub. Key internal stakeholders include Medical & Science, Clinical Operations, Regulatory Affairs, Data Management, Biostatistics, ... Non-clinical, Medical Affairs, Marketing, Legal, Quality, and other affiliates. External...are guided by strategic and tactical priorities and require complex analysis of situations and data Establishes new or… more
- Boston Children's Hospital (Waltham, MA)
- …Evaluation: Recognizes staff that are unreceptive to feedback and reports findings and trends. Case Cart Review : Reviews and inspects case carts for ... in other areas of the organization if needed.Principal Duties and ResponsibilitiesKit Review and Accuracy: Maintains review kits for accuracy and instrument… more
- Boston Children's Hospital (Boston, MA)
- …OR suite for surgery by verifying the availability of instrument kits before case start times.Meet daily with OR Specialty Coordinators at the Collaborative Daily ... Review to forecast instrument needs up to five days in advance.Monitor case flow throughout the day, track instrument needs, and notify SPD personnel of any… more
- HCA Florida Largo Hospital (Largo, FL)
- …career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a ... health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability… more
- ECHN (Manchester, CT)
- …an ongoing basis through the performance of cultural and psychosocial assessment, including review of the medical record, as per department policy. Exemplary:# ... POSITION SUMMARY: The Medical Imaging (Radiology) RN Clinician will be responsible...admission and updates it throughout the hospitalization keeping the Case Manager or Nursing units well informed of patient… more
- HCA Florida Largo Hospital (Largo, FL)
- …career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a ... health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability… more
- HCA Florida Largo Hospital (Largo, FL)
- …career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a ... health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability… more
- Medical Mutual of Ohio (OH)
- … medical /pharmacy terminology/coding and managed care processes. Understanding of the medical review (ie, prior authorization) process and managed care ... years as a Registered Nurse with a combination of clinical and utilization/ case management experience in pharmacy, medical /surgical, or psychiatric, preferably… more
- Henry Ford Health System (Jackson, MI)
- …year (2) years of Epic Operating Room charge auditing. Knowledge of medical terminology This posting represents the major duties, responsibilities, and authorities ... of services - from primary and preventative care to complex and specialty care, health insurance, a full suite...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Medical Mutual of Ohio (OH)
- …Supplement, and individual plans. Under limited supervision, the Medicare Nurse Reviewer applies medical necessity guidelines in making authorization ... health care services. + Participates with designated external vendors and Assistant Medical Directors, social workers and case managers to determine potential… more
