clinical management definition

clinical management means a course of action for managing a precursor to cancer of a woman’s cervix or cancer of a woman’s cervix, including, for example, diagnosing, treating, monitoring and following up with the woman, and making recommendations to her.
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clinical management means the programs that apply systems, science, incentives, and information to improve medical practice and assist both consumers and their support system to become engaged in a collaborative process designed to manage medical/social/behavioral health conditions more effectively. The goal of Clinical Management is to achieve an optimal level of wellness and improve Care Coordination while providing cost effective, non-duplicative services. "Code of Federal Regulations" or “CFR” means the annual codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. All references in this Contract to CFR chapters or sections include any successor, amended, or replacement regulation. The CFR may be accessed at xxx.xxxx.xxx.
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clinical management means the programs that apply systems, science, incentives, and information to improve medical practice and assist both consumers and their support system to become engaged in a collaborative process designed to manage medical/social/Behavioral Health conditions more effectively. The goal of Clinical Management is to achieve an optimal level of wellness and improve Care Coordination while providing cost effective, non-duplicative services.
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Examples of clinical management in a sentence

  • The Member or the provider may contact Keystone’s Clinical Management Department to determine whether a service is Medically Necessary.

  • These Clinical Management Programs are intended to provide a personal touch to the administration of the benefits available under this coverage.

  • To be eligible for coverage for benefits, all non-emergency Hospital admissions must be preauthorized by Keystone’s Clinical Management Department.

  • In addition, the program is designed to facilitate identification and referral of Members to other Clinical Management Programs, such as Case Management and Disease Management; to identify potential quality of care issues; and to facilitate timely and appropriate discharge planning.

  • Preauthorization or Other Clinical Management Programs Members can call the telephone number on their ID card or call Keystone’s Customer Service at 1-800-730- 7219 with questions on Preauthorization.

  • Contractors that provide detoxification, treatment or co-occurring psychiatric and substance use disorders (COPSD) services shall report daily available capacity Monday through Friday through the DSHS Clinical Management for Behavioral Health Services system (CMBHS) by 11:00 a.m. Central Time.

  • This Service supports adherence with Drug Misuse and Dependence UK Guidelines on Clinical Management, published by the Department of Health and Methadone and Buprenorphine for the Management of Opioid Dependence (TA114) published by National Institute for Health and Clinical Excellence (NICE).

  • CARE MANAGEMENT The Care Management Program is a proactive Clinical Management Program designed for members with acute or complex medical needs who could benefit from additional support with coordinating their care.

  • SECTION CM – CLINICAL MANAGEMENT A wide range of Clinical Management Programs are available under this coverage with Keystone.

  • The Utilization Management Program is a primary resource for the identification of Members for timely and meaningful referral to other Clinical Management Programs and includes Preauthorization and Medical Claims Review.


More Definitions of clinical management

clinical management means a course of action for managing a precursor
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Related to clinical management

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Clinical peer means a physician or other health care professional who holds a non-restricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.

  • Project Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.2 of Exhibit B to the ITP.

  • Supply Chain Management All aspects of supply chain management, from the initial sourcing phase through customer delivery (e.g., procurement, sourcing management, inventory management, catalog management, ordering/purchasing, invoice tracking, storefront/shopping cart, warehouse management, returns management, logistics/transportation).

  • Regional Manager means regional executive director of the Ministry or except for Section 2.1.1(1)(a), regional executive director’s designate;

  • Clinical means having a significant relationship, whether real or potential, direct or indirect, to the actual rendering or outcome of dental care, the practice of dentistry, or the quality of dental care being rendered to a patient;

  • Clinical Director means an individual who meets the minimum requirements set forth in Title 9, CCR, and has at least two (2) years of full-time professional experience working in a mental health setting.

  • Clinical Staff means those employees of a provider who are responsible for providing clinical services to clients.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Environmental and Social Management Framework or “ESMF” means the framework dated May 2004 issued by the Recipient and outlining the environmental and social screening procedures to be followed during implementation of the Project including potential environmental and social risks and adverse impacts of the Project along with proposed mitigation measures;

  • Financial Management Manual means the Financial Management Manual, referred to in paragraph B of Schedule 4 to this Agreement, that sets out the financial and accounting arrangements for Implementing Partners and the Recipient’s entities, in form and substance satisfactory to the Association;

  • Project Management Unit or “PMU” means the Recipient’s management and Implementation unit referred to in Section I.A.2 of Schedule 2 to this Agreement.