4 utilization management nurse 2 jobs found

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work Shift Job Description Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. Additional Job Description Bachelor's degree in Nursing from an accredited school of nursing...

Madera, California, 93636 About Us: The Quality and Performance Improvement department plays an important role in maintaining high standards of care, creating a culture of continuous improvement leading to optimal patient outcomes. As a dedicated support department, we actively collaborate with both clinical and non-clinical staff to ensure relevant, appropriate data collection, and analysis with the primary goal of improving patient outcomes.  Our responsibilities include the organization and coordination of Performance Improvement projects across the organization, providing education on Quality Improvement methodologies, streamline processes, increasing efficiency, and reducing waste. Focusing on data-driven decision-making, our department is committed to ensuring data integrity that involves exploring innovative ways of data utilization , identifying trends in processes, and...