- Stanford Health Care (Palo Alto, CA)
- …of care guidelines and utilization management principles. + Experience in case management , utilization review , or related healthcare roles. + ... onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will...ensure the necessity and appropriateness of care provided. 3. Utilization Review : Conduct thorough utilization … more
- MetroHealth (Cleveland, OH)
- …organizational and time management skills. Preferred: Two years of experience with case management , utilization review . Physical Demands: May need ... level of care at the point of entry. The utilization review nurse will work on defined...management , and PC skills. Current working knowledge of, utilization management , case - management ,… more
- HCA Healthcare (Nashville, TN)
- …nursing or behavioral health experience required** + **1-3 years relevant case management / utilization review experience preferred** + **Must hold and ... **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Nurse BH WFH you want with your current employer? We have an… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... potential or identified concerns to the treatment team, Director of Utilization Management , and the Medical Director. + Review charts at identified review… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- ChenMed (Colonial Heights, VA)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Coordinates the integration of social services/ case management functions into the patient care, discharge… more
- UNC Health Care (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **Job Details** Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Case Management Services Work Type: Full Time Standard Hours Per Week:… more
- ChenMed (Decatur, GA)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... LPN or other nursing discipline) required + A minimum of 7 years' utilization review / case management experience, including psychological aspects of care… more
- Hackensack Meridian Health (Hackensack, NJ)
- …software to retrieve necessary information, inclusive of free text fields, to support the case management , utilization review process. + Retrieves ... serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and...discharge dates. + Enters LAD into EPIC. + Keeps Utilization Review RN current on updates needed… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED ... all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized criteria… more
- Alameda Health System (San Leandro, CA)
- …as a Registered Nurse in the State of California. **Additional Information** Note: Must have Case Management , Utilization Review , Home Health or Public ... The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and… more
- Seattle Children's (Seattle, WA)
- …caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director to… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with ... years of inpatient experience in a hospital environment preferred. + Previous case management , utilization review , and discharge planning experience… more
- Acacia Network (Bronx, NY)
- …required (Bachelor's Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong problem-solving and advanced ... Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job...day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care… more
- Banner Health (Fallon, NV)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- Brooks-TLC Hospital System, Inc (Dunkirk, NY)
- …years of recent clinical experience in acute care setting. Experience in discharge planning, case management , utilization review , and clinical pathways ... Case Mgmt/Utlization Review Job Description:RN Case Managers apply the Case Management... Case Managers participate in and drive the utilization review process for the hospital by… more
- Banner Health (Page, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- HCA Healthcare (Richmond, VA)
- …work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center ... finances and/or physical disabilities. + As a member of Case Management team you will provides crisis...payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will… more
- Spaulding Rehabilitation (Brighton, MA)
- …**Education/Degree** Required Preferred **Experience** Required * 5 years of related experience. * Case management , utilization review , or discharge ... is required. Preferred * Health plan experience in utilization review and case management will be considered. **Licensure** Required * Current,… more
- HCA Healthcare (Richmond, VA)
- …work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center ... finances and/or physical disabilities. + As a member of Case Management team you will provides crisis...payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will… more