- Baptist Memorial (Memphis, TN)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as ... prescribed by utilization review standards. The UR ...+ Employee referral program Job Summary: Position: 19737 - RN - Utilization Review Facility: BMHCC Corporate… more
- Fresenius Medical Center (West Memphis, AR)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Fresenius Medical Center (Millington, TN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Baptist Memorial (Memphis, TN)
- …and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation ... Facility: BMH - Memphis Hospital Department: ME Case Management Admin Baptist Memphis Category: Nurse RN Type: Non Clinical Work Type: Full Time Work Schedule:… more
- Baptist Memorial (Memphis, TN)
- …illness, and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review and precertification + Discharge planning + Readmission ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...Hospital Department: WH Case Management Admin BMH Women's Category: Nurse RN Type: Clinical Work Type: Full… more
- Baptist Memorial (Memphis, TN)
- Summary Manages the resources for utilization review and case management to achieve the organizational goals. Has direct supervisory accountability for ... delivery of patient care related to case management and utilization review . * Supervises daily operations, activities,...required. * Bachelor's degree or higher degree preferred. * RN required About Baptist Memorial Health Care At Baptist,… more
- Baptist Memorial (Memphis, TN)
- Summary May have administrative duties for risk management, utilization review , reimbursement, and oversight of all clinical patient care facilities with in ... for improved clinical patient outcomes. Requirements, Preferences and Experience Education: RN , BSN required Experience: Minimum 10 years of nursing experience with… more
- Fresenius Medical Center (Memphis, TN)
- …may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical… more
- Molina Healthcare (Southaven, MS)
- …License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization Management Certification ... Candidate must be an RN /BSN, LMFT, LPCC, LCSW **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and… more
- Baptist Memorial (Memphis, TN)
- …with regulatory agencies. Monitor implementation of standards throughout hospital by review of policies and procedures as they are submitted for approval ... and competent persons to provide care/service Monitors staffing needs and utilization of assigned areas and directs any appropriate alteration Communicates schedule… more
- Baptist Memorial (Memphis, TN)
- …the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review ... to identify the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets directly with patient/family… more