…and behavioral health providers at the completion of initial HAP and at each review update. + Completes and submits the HAP through the portal to all necessary

…of all services provided according to professional standards + Identifies utilization and service delivery problems and participates in identifying a resolution

…throughput while supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers to patient

…Providers: Psychosocial Assessments; Discharge planning; Treatment plan development and review ; Group therapy; and Individual therapy. 9. Monitors compliance with

…is preferred . BSN is preferred . Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed,

…information, inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors

…work for Methodist Celina. This includes supporting discharging planning, facilitating our utilization review process and supporting our efforts related to

…in health care including experience in care management/ disease management, utilization management and prior authorization. + Experience developing and managing

…ensuring field clinical staff meet daily/weekly/monthly/quarterly and annual requirements + Review 's incident report trends - ensures follow up as needed. Conducts

…the system. Contributes to the advancement of the profession through peer review for professional journals, publications and presentations at local, state, national