... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
... utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services. Exceptional Skills and ...
Experience with InterQual or MCG criteria, discharge planning, utilization review, and interdisciplinary care coordination.Knowledge of CMS regulations, Medicare and managed care requirements, and ...
Experience with InterQual or MCG criteria, discharge planning, utilization review, and interdisciplinary care coordination.Knowledge of CMS regulations, Medicare and managed care requirements, and ...
Regional Director - Clinical Quality
Indianapolis, IN · On-site
$110 - $140/hr
Review requests for administrative discharge and provide clinical guidance prior to final ... Utilization Review * Patient Engagement * Treatment Planning * Regulatory Compliance * Clinical ...
Regional Director - Clinical Quality
Indianapolis, IN · On-site
$110 - $140/hr
Review requests for administrative discharge and provide clinical guidance prior to final ... Utilization Review * Patient Engagement * Treatment Planning * Regulatory Compliance * Clinical ...
UR Coordinator (PRN)
Kouts, IN · On-site
... the discharge planning. Job Duties/Responsibilities: • Assist potential patients in gaining ... reviewers to establish the length of stay or number of certified days. • Coordinate with the ...
UR Coordinator (PRN)
Kouts, IN · On-site
... the discharge planning. Job Duties/Responsibilities: • Assist potential patients in gaining ... reviewers to establish the length of stay or number of certified days. • Coordinate with the ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Care Transition RN MHO
South Bend, IN · On-site
Attending case management afternoon review meetings to coordinate discharge planning and align ... Experience in care coordination, throughput, case management collaboration, or utilization review ...
Clinical Domain Project Manager (PBM)
Indianapolis, IN · On-site
$110 - $150/hr
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
Clinical Domain Project Manager (PBM)
Indianapolis, IN · On-site
$110 - $150/hr
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... Leads implementation readiness reviews and go-live planning activities * Coordinates training ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Med Mgmt Nurse
Indianapolis, IN · On-site
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...
Marketing Director
Columbus, IN · On-site
... discharge planners, utilization review, volunteer coordinators, rehabilitation director, chaplain service, pastors, senior services including senior centers, board and care homes, adult day care ...
Marketing Director
Columbus, IN · On-site
... discharge planners, utilization review, volunteer coordinators, rehabilitation director, chaplain service, pastors, senior services including senior centers, board and care homes, adult day care ...
Admissions Coordinator
$19 - $25.75/hr
... Utilization Review. · Assist with billing issues. · Assist with coordinating and collecting co ... discharge. · Assist with coordinating and arranging patient payment plans when necessary. · ...
Quick apply
Admissions Coordinator
$19 - $25.75/hr
... Utilization Review. · Assist with billing issues. · Assist with coordinating and collecting co ... discharge. · Assist with coordinating and arranging patient payment plans when necessary. · ...
Discharge Planner Utilization Review information
What is a discharge planner utilization review?
Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.
How does a discharge planner utilization review collaborate with interdisciplinary teams to ensure effective patient transitions?
Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.
What are the key skills and qualifications needed to thrive as a discharge planner utilization review?
To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.
What is the difference between Discharge Planner Utilization Review vs Discharge Planner?
| Aspect | Discharge Planner Utilization Review | Discharge Planner |
|---|---|---|
| Primary Role | Evaluates medical necessity and appropriateness of patient discharges for insurance and healthcare compliance | Coordinates patient discharges, ensures proper placement, and communicates with healthcare teams |
| Credentials | Typically requires a social work, nursing, or healthcare background with certification in utilization review | Usually requires social work or nursing credentials, with focus on discharge planning |
| Work Environment | Hospitals, insurance companies, or healthcare facilities involved in utilization review | Hospitals, rehab centers, or skilled nursing facilities |
While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.
What are popular job titles related to Discharge Planner Utilization Review jobs in Indiana?
For Discharge Planner Utilization Review jobs in Indiana, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- No Experience Utilization Management Nurse
- Registered Nurse Utilization Review
- Part Time Utilization Review Nurse
- Utilization Review Physician
- Manager Utilization Management
- Utilization Review Specialist
- Medical Review Coordinator
- Commission Cvs Health Utilization Management
- Remote Utilization Management Nurse
What job categories do people searching Discharge Planner Utilization Review jobs in Indiana look for?
The top searched job categories for Discharge Planner Utilization Review jobs in Indiana are:
- Lpn Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Utilization Review Coordinator
- Remote Optum Utilization Review
- Work From Home Utilization Review
- Director Optum Utilization Review
- Utilization Review Manager
- Foster Care Case Manager
- Manager Case Management
- Registered Nurse Hh Case Manager
What cities in Indiana are hiring for Discharge Planner Utilization Review jobs?
Cities in Indiana with the most Discharge Planner Utilization Review job openings:
Registered Nurse (RN) Case Manager - Community East Emergency
Indianapolis, IN • On-site
Other
Re-posted 25 days ago
Community Health Network rating
7.6
Based on 235 frontline employees who took The Breakroom Quiz
190th of 891 rated healthcare providers
Job description
Registered Nurse (RN) Case Manager - Community East Emergency
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn't do it without you.
Community East has a part-time RN Case Manager position available in the Emergency Department. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. Responsible for supporting the healthcare team towards a smooth transition from one level of care to another in support of the patient/family. To provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services.
Exceptional Skills and Qualifications
- Graduate of National League for Nursing, Accreditation Commission for Education in Nursing or Commission on Collegiate Nursing Education accredited school of nursing.
- Licensed as a Registered Nurse by the Indiana Professional Licensing Agency - (required).
- Two years of recent clinical experience or three years recent hospital case management experience- (required).
- Certification in Case Management (CCM or ACMA) - (preferred).
- Team building skills with the ability to function independently and interdependently as a member of a network team.
- Demonstrates the ability to be flexible in work schedules and coverage at any site.
- Strong organizational and problem-solving skills.
- Exhibits openness to change and willingness to try new approaches to problem solving.
- Can establish rapport with a wide variety of people.
- Strong computer skills.
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!
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