Healthcare Quality Manager
1 week ago
Roxborough Memorial Hospital is a 131-bed community hospital serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for over a century.
Job SummaryWe are seeking a skilled Clinical Case Manager RN to join our team. As a key member of our healthcare team, you will be responsible for the quality and resource management of all patients admitted to the facility.
Responsibilities- Conduct comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness.
- Develop and implement cost-effective care plans that promote quality outcomes.
- Collaborate with healthcare providers to achieve seamless delivery of care.
- Ensure compliance with regulatory requirements and company policies.
- Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Basic to intermediate computer skills required.
- Behavioral Violence Prevention Training within 3 months of hire and maintain current.
Roxborough Memorial Hospital offers a dynamic work environment, competitive compensation, and opportunities for professional growth and development.
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Healthcare Quality Manager
1 week ago
Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full timeAbout Roxborough Memorial HospitalRoxborough Memorial Hospital is a 131-bed community hospital serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for over a century.Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Case Manager. The successful candidate...
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Healthcare Manager
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Quality Management Credentialing Specialist
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Healthcare Case Manager
3 weeks ago
Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full timeAbout the RoleRoxborough Memorial Hospital is seeking a skilled Healthcare Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.ResponsibilitiesConduct comprehensive admission and concurrent reviews of medical records to ensure...
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Healthcare Case Manager RN
2 weeks ago
Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full timeAbout the RoleRoxborough Memorial Hospital is seeking a skilled Healthcare Case Manager RN to join our team. As a key member of our healthcare team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.Key ResponsibilitiesConduct comprehensive admission and concurrent reviews of medical records to...
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Quality Management Specialist
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Healthcare Case Manager RN
2 weeks ago
Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full timeAbout the RoleRoxborough Memorial Hospital is seeking a skilled Healthcare Case Manager RN to join our team. As a key member of our healthcare team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.ResponsibilitiesConduct comprehensive admission and concurrent reviews of medical records to...
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Healthcare Professional
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4 weeks ago
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Healthcare Case Manager RN
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Quality Assurance Manager
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