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Nursing / Healthcare in the United States / Healthcare management / Insurance / Utilization management / Case management / Medical record / URAC / Transitional care / Health / Medicine / Health economics


Microsoft WordUtilization Management Plan.docx
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Document Date: 2015-04-27 15:56:42


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File Size: 97,00 KB

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Company

Case Management / Outpatient Services Kidney Transplants Laboratory / Covered Services / Directors CMPCN / /

Country

United States / /

Facility

Hospice Services Hospital / The Center / /

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IndustryTerm

state law / health services / clinical services / basic protocols / augmentative communication devices / online system / cancer treatment / internal tool / in-network services / clinical protocols / substance abuse services / nonemergency medical services / external tool / out-of-network / routine services / inpatient services / Post-stabilization care services / services / durable medical equipment / utilization management / required and appropriate medical services / interpreter services / hospital services / home health services / online computer system / /

MedicalCondition

particular disease / HIV / sexual transmitted disease / Injury / illness / cancer / Disease / pain / drug abuse / Serious dysfunction / syndrome / tuberculosis / /

MedicalTreatment

immunizations / investigational treatment / clinical protocols / /

MusicGroup

AP2 / /

Organization

Mercy Hospital / CMPCN’s Clinical Criteria Committee / CMPCN’s Clinical and Quality Management Committee / Children’s Mercy Hospital / CMPCN’s Clinical Oversight Committee / Clinical Services Department / Clinical Oversight Committee CMPCN / Clinical Oversight Committee / Hospice Services Hospital / Mercy Pediatric Care Network / /

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Position

Transition Nurse / Medical Director / practicing physician / physician / Health Plan Medical Director / interpreter / Director of Clinical Services / assigned Case Manager / authorized representative / legal counsel / Registered Nurse / Case Manager / Services Physician / board-certified physician / Nurse / Birthing Center Services Certified Nurse Midwife Services / chair / representative / Manager for post-discharge interventions / /

ProvinceOrState

Kansas / Missouri / /

PublishedMedium

Peer Review / the Prior Authorization Quick Guide / /

RadioStation

Core / /

Technology

peer-to-peer / same basic protocols / /

SocialTag