utilization review coordinator maryland

... adverse findings and communicates trending to clinical director. Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences. Enters infections and ... act requirements. Directs team in adherence to and participates in the Episode Management process. Education & Experience License RequirementsCurrent RN licensure in state of Maryland Current CPR certification required Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation.

... 2018, HCA Healthcare spent an estimated $3.3 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Operating Room Registered Nurse opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, ...

Shifts: Overnight, Early Morning, Day, Evening, Weekend Location: Baltimore, MD Job opportunities vary by location. We update postings daily with open positions. Hourly pay rate: $17/hr* *The base pay for this role is $15/hr. **Limited-time Opportunity Earn $2/hr extra for the overnight shift through 1/17/2020. Immediate openings available now. Become part of the dedicated team that gets orders ready for people relying on Amazons service. From flexible part-time roles to full-time set schedules with health care benefits, Amazon has a variety of jobs. Find the right Amazon opportunity for you today. Amazon remains open as an essential business ...

Overview: Position title: Patient Care Coordinator Salary: $19.00/hour - $40.00/hour (depending on ... Diseases protocol. The Patient Care Coordinator (PCC) will be responsible for all scheduling ... records into the electronic medical record. Review medical records to collect relevant clinical ... pertinent information and forwarding it for review. Refer prospective volunteers per study ... and materials and submission of materials for review. May assist in preparing credentialing ... staff utilization; work with staff in problem solving for overlapping appointments. Review future ... regarding data management project status and review key project questions with clients, working in ...

... or third party payers according to policies and procedures. Communicates utilization plans to case management team. Performs admission reviews and subsequent ... necessary to support appropriate utilization of resources. Serves as a resource to all staff in areas of utilization review/management. Educates members of health ... as assigned. Minimum Qualifications Education Valid RN license in State of Maryland required and Bachelor's degree in Nursing preferred Experience Clinical ... MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine ...

Overview: The Education Program Coordinator (PC) administers the Nationwide Childrens Hospital (NCH) Pediatric Cardiology fellowship in ... in MedHub. Prepare and manage fellowship program budgets. Review monthly budget and expense reports and follow-up on ... Maintain education website and training program literature. Review and update at least annually. Work with the GME Office to onboard ... professional organizations as required. Attend monthly Program coordinator, PC Tool, Fellowship and other meetings as a representative of ... of meetings, management of conflicting time demands, and utilization of technology to facilitate participation. Able to hold others ...

... to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Qualifications Applicants pending the completion of educational or ... of nurse practitioner students and residents; and ensures that assignments reflect their appropriate utilization, and compliance with staffing guidelines. Participate on service and medical center committees and task ... for highly qualified candidates EDRP Authorized: Contact Hannah Neilson, [Apply online], the EDRP Coordinator for questions/assistance. Learn more. Assignment Code: 75, Nurse Practitioner Permanent Change of Station ...

... professional nursing practice in the clinic setting. The Wound Center Program Coordinator is responsible for the management and the strategic growth of the Wound Care ... revenues generated by the program. Manages costs through appropriate utilization and management of labor and supply across the wound care continuum. Works with ... with the Specialty Clinics Manager and Specialty Clinics Office Coordinator. Ensures that Patient Safety Guidelines are followed, that Wound Center employees ... wound care and HBO protocols as clinically indicated. Complete new patient review form and participate in weekly meetings. Accurately complete the superbill and ensure ...

... Meet regularly with the department chair to review performance matrices. Collaborate with the chair and ... to the faculty. Establish benchmarks for budgetary review. Review analysis of staffing expenses, non-salary expense ... and other members of the Departments support team to review changes in funding, policies and procedures and to ... processes result in accurate allocation of costs; utilization is maximized (within and across departments); ... facilities. Manage space allocations and monitor utilization per departmental and School of Medicine metrics. ... staff, including a department assistant, education coordinator and a grants manager. Assure annual reviews are ...

... IDT member. If a Mental Health Worker revises the care plan other than interventions he/she will collaborate with the primary nurse or the Patient Care Coordinator who will formulate the problem and goal. Reinforces, with patient and family, realistic expected outcomes established in the plan of care. - Provides treatment and care ... control and risk management policies and procedures. · Is knowledgeable regarding managed care implications precertifications and utilization review procedures. · Provides consultation regarding Behavioral Health issues as needed to other hospital staff/departments. Performs other duties as deemed necessary to meet the ...

... operational activities, as necessary to bolster T&E operations. Plan and execute performance analysis. Review proposed acquisition approaches to ensure alignment of T&E schedule with decision maker requirements for ... thus enabling effective evaluation planning. Coordinate with program Systems Engineering (SE) and review T&E-related SE data to leverage functional analysis, system descriptions, parameter selection and ... employer - minorities, females, disabled and protected veterans are urged to apply. ManTech's utilization of any external recruitment or job placement agency is predicated upon its full compliance with our equal ...

... supervision of the Director of Utilization Management, the Credentialing and ... and maintenance of all utilization review programs to facilitate the use ... concurrent review timeliness. 5. Compile and report daily review activity and ... Collects and monitors resource utilization data. 12. Actively participates ... any issues related to utilization review processes or delays. 13. ... as requested by the Director of Utilization Management. Credentialing: 1. ... care settings including utilization review, behavioral health and/or ... 4. Working knowledge of utilization review procedures and network ... and understanding of relevant utilization and laws, rules, regulations, and ...

... Business Development responsibilities, and overall organizational efficiencies and workforce utilization. Increase organizations footprint in the region which includes leveraging candidates contact to attract ... procedures to promote and provide a safe work environment Interface with the Testing and Commissioning Coordinator to: assign and schedule work as required to meet project and client requirements, assuring the highest ... appropriate test equipment resources Serve as the Departments contact person with clients and partners Review and approve time sheets and expenses for direct reports Responsible for complete and accurate record keeping ...

... shifts, filling open shifts, and employee messaging. Meets each new employee to review their schedule, ask what needs they have and ensure a smooth onboarding ... coordination and classes. Adheres to scheduling standards, Smartlinx utilization, and best practices. Assists with Fit testing, COVID testing, Biometric ... Maintains ordering and stocking of supplies. Rounds on each shift to provide review of consistent staffing levels WHAT WE'RE LOOKING FOR: Skills in: ... to questions from department and campus employees and leadership team members. Review and analyze report information, while using critical thinking skills to evaluate ...

... in product selection and evaluation for patient specialty care needs including review of wound product formulary. EducationVocational/Technical Diploma from a diploma ... and/or Compact State Licensure Valid RN license in the District of Columbia, Maryland or Virginia or any combination based on work location(s) Upon Hire required and ... that supports optimizing outcomes, formulary adherence and effective cost utilization of visits and wound products. Contributes to the achievement of established ... practice outcomes as well as supporting effective cost management and supply utilization. Supports other clinicians by providing input in product selection and wound ...

... characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Utilization Review Coordinator is responsible for the assisting with the implementation and ongoing management of the utilization review program for the employee medical benefit program for Prime Healthcare. This position will provide assistance in the direction and utilization of available resources to provide quality, cost effective care using selected benefits and alternative services best suited for the members while ensuring optimal outcomes. This position will work closely with the Prime ...

... Group is searching for an enthusiastic, patient focused, full time Surgical Coordinator for our Rosedale, Md. office with travel to Lutherville and Bel Air dependent ... Candidates will have at least two years of experience working as a Surgical Coordinator in a very busy practice, preferably ophthalmology or another medical specialty. ... employees is as important as the services provided by the doctor. The Surgical Coordinator assumes responsibility and accountability for the patient during all phases of ... with patients through initial introduction Explain treatment procedures and review applicable options including doctor recommendations for optimal visual outcome ...

... recommendations for quality improvement in the laboratory Assists in trouble shooting activities in QA Maintain written documentation of monthly quality control review. Assists in maintaining the laboratorys Safety Program Maintain quality assurance records such as control charts, control limits, corrective action reports and ... year Fitness Friday & on-site gym A day off on your birthday Free lab services for you and your dependents A sense of belongingwere a community! New York | Maryland | New Jersey | Virginia | Washington DC | W. Virginia Join us! We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary ...