- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related… more
- Children's Hospital Boston (Boston, MA)
- …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:Registered Nurse Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- BronxCare Health System (Bronx, NY)
- …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- Penn Medicine (Philadelphia, PA)
- …thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, ... you will miss patient contact? If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. + Responsibilities: Utilization management… more
- LifePoint Health (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** * Case Manager - RN ED* **Location:** *NC-Wilson* **Requisition ID:** *7462-9340* more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Guthrie (Sayre, PA)
- …outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , discharge planning, ... day operational leadership, oversight, and support to the Acute Case Managers, nurse utilization management ...care coordination scope of practice within the department. The Manager - Case Management collaborates cooperatively with… more
- Select Medical (Birmingham, AL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Dartmouth Health (Lebanon, NH)
- …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... to seven years of leadership experience in care coordination, case management , or utilization review,...Manager (CCM) OR Certified Accredited Case Manager (ACM) OR Case Management … more
- Select Medical (Columbus, OH)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Elevance Health (Washington, DC)
- Manager ll HCMS - Utilization and Case Management (JR142403) **Location:** This position requires travel to our Washington, DC office 4 days each week. ... degrees of medical complexity and acuity. + Participates in Case Management **and** Utilization ...related Health/Nursing field preferred. + Certified Case Manager Certification preferred. + 3 years management … more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-4741 more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of… more
- Trinity Health (Lavonia, GA)
- …Minimum 3 years experience in nursing in a hospital setting; preferred 1 year in case management , utilization management , or discharge planning . ... **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in...care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to… more
- Covenant Health (Bangor, ME)
- …supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other ... members of the healthcare team. The nurse case manager also acts as an advocate... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - ... - Friday 8:00am to 4:30pm Job Description: Duties/Responsibilities: + Utilization Management supporting medical necessity and denial...by law or regulation in Texas required. + Accredited Case Manager (ACM or other certification) preferred… more
- Trinity Health (Athens, GA)
- …in nursing, preferably in a hospital setting and a minimum of 1 year in case management , utilization management , or discharge planning preferred for ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The Utilization Review (UR) Coordinator works, in collaboration with a...RN. Certification in case management preferred. **Special Qualifications:** Excellent communication,… more