Sentences with phrase «present utilization review»

HCA, Regional Medical Center, San Jose • CA Assistant Director Case and Resource Management 2010 — Present Utilization Review / Case Management 2006 — 2010

Not exact matches

The Korean central bank recently released a joint research report titled, «Present Status and Key Issues of Distributed Ledger Technology, which «comprehensively reviewed and introduced the recent development of distributed ledger technology and the utilization on financial sector.

In the related studies presented at the annual meeting, «Trends in Total Hip Arthroplasty in the United States: The Shift to a Younger Demographic» and «Trends in Total Knee Arthroplasty in the United States: Understanding the Shift to a Younger Demographic,» researchers conducted a retrospective review of 2000 - 2009 hospital discharge data on TKR and THR patients from the Nationwide Inpatient Sample (NIS) Healthcare Cost and Utilization Project (HCUP).

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity

Professional Experience Qualis Health (Boise, ID), Director of Idaho Medicare Operations 2007 — Present Qualis Health (Boise, ID), Project Manager 2003 — 2007 Cascade Medical Center (Cascade, ID), Director of Operations & Healthcare Services 2001 — 2003 Shepard's Home, Inc. (McCall, ID), Executive Director 1999 — 2001 Independent Consultant (CA & ID) 1992 — 1999 CIGNA (San Diego, CA), Director of Provider Relations & Director of UM / QA 1985 — 1991 Sharp Memorial Hospital (San Diego, CA), Managing Director Utilization Review 1984 — 1985 State of California, Department of Mental Health (Sacramento, CA) Health Care Services Nurse; Mental Health Specialist II 1980 — 1984 Greater Sacramento PSRO (Sacramento, CA), Registered Nurse 1977 — 1980 Sacramento Community Hospital (Sacramento, CA), Registered Nurse 1976 — 1977 St. Benedict's Hospital (Jerome, ID), Registered Nurse 1969 — 1975

Abstract: Preliminary efforts to perform outcome evaluation at 20 outpatient rehabilitation facilities are presented, including utilization review and a patient satisfaction survey.

Preliminary efforts to perform outcome evaluation at 20 outpatient rehabilitation facilities are presented, including utilization review and a patient satisfaction survey.