- Guthrie (Sayre, PA)
- Position Summary: The Utilization Management (UM) Reviewer , in collaboration with other internal and external offices, payors, and providers and staff, is ... responsible for the coordinates Utilization Management (UM) processes and requirements for...prior authorization/certification for reimbursement of patient care services. The Utilization Reviewer : * Secures authorization as appropriate… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. ... 10. Manages each patient's transitions through the Health Care system . ** 11. Maintains appropriate documentation of the patient...nursing in acute care hospital setting or two years utilization management in an acute care hospital… more
- Guthrie (Corning, NY)
- …Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). Has ... a working knowledge of the hospital computer system as it relates to case management ....members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria.… more
- Arnot Health (Elmira, NY)
- …administrative leadership and expertise. Facilitates an atmosphere of interactive management and the development of collegial relationships among nursing personnel ... Unit Director develops, maintains, and evaluates patient/client and staff data collection systems and processes to support the practice of nursing and delivery of… more
- Arnot Health (Elmira, NY)
- …administrative leadership and expertise. Facilitates an atmosphere of interactive management and the development of collegial relationships among nursing personnel ... Nurse Manager develops, maintains, and evaluates patient/client and staff data collection systems and processes to support the practice of nursing and delivery of… more