- Ellis Medicine (Schenectady, NY)
- …on first working day post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment. Make all contact with ... the anticipation, identification, and resolution of issues through pre-admission, admission, concurrent and post discharge medical record review 3. Services… more
- Mount Sinai Health System (New York, NY)
- …Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and ... and identify the expected length of stay (ELOS). The case manager works collaboratively with physicians, social...by the managed care companies as part of the concurrent review in a timely fashion. *… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years ... **Job Description** **RN/ Case Manager MSH Case ...**Job Description** **RN/ Case Manager MSH Case Management FT Days**...by the managed care companies as part of the concurrent review in a timely fashion. +… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor ... health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for… more
- The Cigna Group (Bloomfield, CT)
- …environment. IN addition to Case Management duties, the Case Manager will manage precert and concurrent reviews for the transplant members assigned ... This position, the Nurse Case Manager Senior Analyst, through the...to their caseload. This will require review of clinical information and correspondence with facilities to… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** The Case Manager (CM) will be responsible...**Job Description** The Case Manager (CM) will be responsible for all aspects...by the managed care companies as part of the concurrent review in a timely fashion. 3.… more
- Sharp HealthCare (La Mesa, CA)
- …Start Time** **Shift End Time** Master's Degree; Bachelor's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours**… more
- Stanford Health Care (Palo Alto, CA)
- …Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with a unique and supportive ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Sharp HealthCare (San Diego, CA)
- …Start Time** **Shift End Time** Master's Degree in Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... case management experience + 3 Years recent case management, utilization review , care coordination experience...**Preferred Qualifications** + Master's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager Women and Children Part Time Days - 2406003239 Description : Children’s Hospital of Michigan is an international leader in pediatric and ... Troy and six ambulatory sites. Job Description: The RN Case Manager is responsible to facilitate care...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is… more
- ChenMed (Colonial Heights, VA)
- …providers. We're rapidly expanding and we need great people to join our team. The Case Manager is responsible for enhancing the quality of patient management and ... possession and maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for… more
- HCA Healthcare (Richmond, VA)
- …this opportunity compelling, we encourage you to apply for our Social Worker SW Case Manager opening. We promptly review all applications. Highly qualified ... thrive? Submit your application for our Social Worker SW Case Manager opening with Chippenham Hospital today...ACDs as appropriate. + You will perform admission and concurrent review for all payers and maintain… more
- Guthrie (Binghamton, NY)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management… more
- HCA Healthcare (El Paso, TX)
- …to you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates ... their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist...and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical… more
- University of Miami (Miami, FL)
- …Department Sylvester Business Operations have an exciting opportunity for a Full Time Utilization Review Case Manager to work at Sylvester Support Service ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with...for services requiring prior authorization as well as timely concurrent review for continuation of care services… more
- Tenet Healthcare (Commerce Township, MI)
- RN Case Manager Clinical Res Mgmt Full Time Days - 2406004130 Description : DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding ... top hospitals in the nation. Job Summary The RN Case Manager is responsible to facilitate care...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is… more
- HCA Healthcare (Thornton, CO)
- …this role. The typical candidate is hired below midpoint of the range. **RN Case Manager PRN** **Weekday, Weekend and Holiday Availability Required** **Will be ... any other healthcare provider. We are seeking a(an) RN Case Manager PRN to join our healthcare...cost effective utilization of resources. + You will perform concurrent clinical review to determine appropriateness of… more
- LifePoint Health (Henderson, NC)
- …employee recognition and awards programs . And much more *Position Summary* The RN Case Manager is responsible for the coordination of clinical care, quality, ... outcomes of a designated population of patients. The RN Case Manager is responsible for overseeing an...implements interventions for patients at risk for readmissions. Manages concurrent denials and works with physicians to overturn for… more
- Baystate Health (Springfield, MA)
- **Hospital Case Manager - Part Time 16 hours** The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...interventions for patients at risk for readmissions + Manages concurrent denials and works with physicians to overturn for… more