Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.
Contact Center Supervisor US-VA-Chesapeake Job ID: 34801 Type: Full-Time # of Openings: 1 Category: Customer Service/Support ITS Corporate Headquarters About the Role Canon Information Technology Services, Inc. has an immediate opening for ...
...experience, skills, training, certifications and education. HSHS St. Nicholas Hospital is seeking a Registered Nurse (RN) to join our Wound/Ostomy Outpatient Clinic. Ideal candidates are patient focused, mission driven caregivers looking for an opportunity to apply...
...Entry Level Communications Associate We are seeking a motivated and enthusiastic Entry Level Communications Coordinator to join... ...individuals looking to start their career in communications and public relations. As an Entry Level Communications Coordinator, you will play...
...Place to Work in Los Angeles by the LA Business Journal 4 years in a row. PragerU is looking for a talented and versatile Motion Graphic Designer to join our high-impact creative team. This role is a great fit for someone who's passionate about purposeful design and...
...BMO)Salary: Starting at $145,477 Per year (SK 14)Dates: Open 09/30/2026 to 10/06/2026Schedule: Full-timeWork type: PermanentRelocation: FalsePosition ID: 26-MP-13070836-CSSDocument ID: 886924900Grade: SK 14Job category: Budget Analysis (0560)Hiring path: fed-transition