Utilization Management Nurse II - Case Management
for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations. Coordinate...
for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations. Coordinate...
to improve quality, patient safety, outlier management, and ensures the ongoing development and growth of the center’s business...
planning meetings and weekly outlier case reviews. Coordinates and communicates the discharge plans with team members, patients...
and other significant clinical changes Actively participates in CLT meetings with COD and CTD to improve quality, patient safety, outlier...
and weekly outlier case reviews. Coordinates and communicates the discharge plans with team members, patients, and their support...
with: Provider Payment Determinants – e.g. Fee Schedules, DRGs, EAPGs, Outlier Thresholds, and Chargemasters Provider Network...
and implement discharge plans for patients to meet their needs for post-acute care services, avoid outlier days, reduce the length...
criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations...
integrity, risk and outlier analysis throughout Amazon's supply chain including inbound, outbound , removals and customer...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier, and Readmission reviews...