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Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge.
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Facilitates resource management activities for inpatients based on identified patients. Coordinates patient’s transition from hospital to home through collaboration with physicians, nursing staff and other healthcare professionals to enhance continuity of patient care, promote cost effective utilization of resources and enhance patient, nurse and physician satisfaction.
Provides psychosocial assessment, resources and intervention to hospitalized patients.
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The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.
Responsible for the...
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Facilitates resource management activities for inpatients based on identified patients. Coordinates patient’s transition from hospital to home through collaboration with physicians, nursing staff and other healthcare professionals to enhance continuity of patient care, promote cost effective utilization of resources and enhance patient, nurse and physician satisfaction.
Provides psychosocial assessment, resources and intervention to hospitalized patients.
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Facilitates resource management activities for inpatients based on identified patients. Coordinates patient’s transition from hospital to home through collaboration with physicians, nursing staff and other healthcare professionals to enhance continuity of patient care, promote cost effective utilization of resources and enhance patient, nurse and physician satisfaction.
Provides psychosocial assessment, resources and intervention to hospitalized patients.
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Prepares the patient and/or patient’s family to transition from the hospital to the next appropriate care setting based on their individual needs. Applies their understanding of medical conditions, insurance coverage and how physical/psychosocial may affect the patient once a patient leaves the medical setting to plan and initiate an individualized discharge plan. Provide clinical information to payers and/or post-acute providers in order to obtain authorizations for hospitalized patients
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Environmental Services/Housekeeping plays an integral role in maintaining the cleanliness and safety of Huntsville Hospital through a variety of positions, teams, and shifts. We provide 24/7 cleanliness through many different roles including patient room cleaning and turnover, daily occupied patient room disinfection, public waiting room and lobby sanitization, linen distribution, floor maintenance, waste management, and more!
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Social worker will provide psychosocial assessments and referrals to patients and their families related to illness adjustment, coping mechanisms and other needs that may arise. Social worker will use researched-based techniques to assess the emotional needs of the patient and families to provide group and individual support. Social worker will act as patient advocate by recommending resources for patient’s needs, such as social support and financial assistance and any other community referrals needed. Social worker will have knowledge of community resources to provide support to the patients being served. Social worker will provide guidance and assistance regarding...