POSITION DESCRIPTION POSITION TITLE - Nwcsb.com
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THE DEPARTMENT OF VETERANS AFFAIRS EMPLOYEE EDUCATION SYSTEM CARE MANAGEMENT IN VA A TOOL KIT FOR CARE/CASE MANAGERS MARCH 2001. Inpatient Nurse Case Manager (410) 605-7430 FAX VA Maryland Health Care System (410) 605-7999 ID # 9995 Pager ... Fetch This Document
Patient Discharge Planning - RN Case Manager
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Acute Criteria Review Process - Contacting Server...
Acute Criteria Review Process Introduction Inpatient List: Identifies procedures that are appropriate for the inpatient setting according to the available evidence or InterQual consultants. (The list is not necessarily in concordance case Take action based on review findings ... Read Full Source
Care Management, Case Management, And Utilization Review In A ...
Care Management, Case Management and Utilization Review in a Managed Care Environment (e.g., acute inpatient, residential treatment, medical detoxification, ambulatory detoxification, in-home respite, intensive outpatient, brief ... Return Doc
Emergency Department And Outpatient Case Management
Discuss how to integrate ED/OP case management activities with pre-admission and inpatient case management programs Define the ED case manager’s role with bed management and point of access level of care ... Fetch Full Source
Case Management Agency Self-Audit Checklist
Written procedures are in place for determining and documenting a case manager’s qualifications. normally is expected to provide as part of inpatient services. Yes . No . f00023, f-00023, forwardhealth, case, management, agency, self-audit, checklist ... Return Document
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Job Description For Department Case Management - Oroville
Job Description for Department Case Manager/Medical Social Worker : Case Management Dept.#: Last Updated: 8755 10/30/09 Reports To Nurse Manager of Case Management Job Summary The Case Manager/Medical Social Worker is responsible for performing case management, utilization Does inpatient ... Fetch Document
2 Midnight Rule For InPatient Admission
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Hospital Case Management Utilization Review Process
Admitted to Inpatient or Outpatient status. the Case Manager will confirm documentation of a match between the physician order and authorization by the payer for patient status, level of care and/or length HOSPITAL CASE MANAGEMENT UTILIZATION REVIEW PROCESS ... View Doc
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Inpatient Rehabilitation Therapy Services: on the documentation needed to support a claim submitted to Medicare for inpatient rehabilitation services. A social worker or a case manager (or both); and • A licensed or certified therapist from ... Read Content
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POSITION SUMMARY: Reports To QUALIFICATIONS
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INTERQUAL Application And Training - Tenet Healthcare
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Utilization Management - Wikipedia
Utilization Management (often a Registered Nurse with UM training), a UM program manager, and a Physician Adviser. UM policies may include the frequency of reviews, priorities, and balance of internal and external responsibilities. an inpatient case situated in a telemetry bed (high cost ... Read Article
Case Management (US Health System) - Wikipedia
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Case Management (mental Health) - Wikipedia
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Medical Management Program - Molina Healthcare
Medical management program includecessity review, prior e Medical N Authorization, inpatient management and restrictions on the use of nonParticipating P- roviders. telephone summaries or inpatient case manager criteria reviews ... Get Content Here
Effective Discharge Begins At Admission - PatientPlacement.com
Case management efforts alone, without full system collaboration and patient flow logistics which then directly impacts inpatient admissions from the Effective Discharge Begins at Admission Ideally the determination of the patient’s discharge plan begins upon their admission to a hospital. ... Retrieve Here
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Utilization Review and Case Management Under Recovery Audit Prepayment Review Ralph Wuebker, MD, MBA Chief Medical Officer Executive Health Resources . Agenda •National Review of Audit Landscape • Requires a physician order for inpatient status ... Visit Document
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Managed Care Organizations Video - YouTube
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Strategies for Reducing Readmissions to the Inpatient Psychiatric Setting . Kay E. Jewell, MD Case or care manager contact (internal or outpatient clinic) Real-time communication between inpatient and outpatient providers . ... Fetch Here
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