- Hackensack Meridian Health (Maywood, NJ)
- …and concurrent patient management. + Knowledge of health care delivery system, utilization and review and case review procedures. + Good working knowledge of ... Coordination and handoff between acute & post-acute services. RN Case Manager is for Child and Adolescent Outpatient Behavioral...and develop an individualized plan in collaboration with the physician and other members of the health care team.… more
- Chenega Corporation (San Antonio, TX)
- …+ Record findings in the agency electronic processing systems as specified by SSA case review policies and procedures. + Attend required meetings, briefings, and ... disability evidence and assessment of evidence during the reconsideration case process as well as non - case...year experience practicing as an Internist. + Current Independent Case Review status with the Social Security… more
- Ochsner Health (New Orleans, LA)
- …Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification ... at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management) serves as the physician...resources + Assist with the denial management process + Review medical records of patients identified by case… more
- Houston Methodist (The Woodlands, TX)
- …per hospital/ case management and clinical documentation policies policy. + Review issues identified by case management department to ensure appropriate ... At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and...documentation to support such determinations. **FINANCE ESSENTIAL FUNCTIONS** + Review medical records identified by case managers,… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Days in Case Management IT system. + Issues Notices of Non -coverage per hospital policy. + Provides Part B coverage notification for Observation patients. ... Diabetes or Depression. + In the process of chart review screens orders and entries for appropriate signing, pended...on whiteboard in patient room. + Confirms with attending physician consultants have signed off case . +… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice and ... Network CDI Physician Champion Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/ Non -Clinical Department: Health Info… more
- Covenant Health (Nashua, NH)
- …are attended /documented. + Annual goals are achieved. + Attends pertinent case management/utilization review programs to maintain current knowledge of UR ... Summary RN Case Managers provide a systematic collaborative approach to...for patients not meeting criteria by utilizing second level review / Physician Advisor services. + Identifies… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …physician will abide by all VA facility By Laws regarding the supervision of physician assistants and review of medical charting. v. The provider will perform ... organizations. Verification of accreditation may be made obtained from Accreditation Review Commission on Education of Physician Assistant. Note: Only… more
- Veterans Affairs, Veterans Health Administration (Aspinwall, PA)
- …of care to ensure departmental goals are achieved. Provide education of staff. Review and approve certain aspects of non -VA community care. Provide backup ... determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Home Based Primary Care … more
- ChenMed (Cleveland, OH)
- …clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning experience ... rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers ... years of inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly… more
- HCA Healthcare (Rochester, NH)
- …office or patient registration staff, and other appropriate persons. Refers cases for physician review (internal or external review ) as appropriate. ... life - and empowers their passion for patient care. Apply today for our Case Manager opportunity. **Job Summary and Qualifications** The Case Manager is… more
- UPMC (Pittsburgh, PA)
- …counsel if applicable of the date and times. Forward relevant information to the physician and review the IME report when received. Discuss with appropriate ... UPMC's Health Plan is hiring a Clinical Case Manager to support an external client. This is a predominantly remote position but may require onsite presence in… more
- Sharp HealthCare (San Diego, CA)
- …care nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California Registered ... **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Shreveport offers you the 'lagniappe', ... live music and family attractions.VA offers a comprehensive total rewards package. VHA Physician Total Rewards. VA offers a comprehensive total rewards package. VHA … more
- Sharp HealthCare (La Mesa, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's Degree; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's ... Degree in Nursing; Certified Case Manager (CCM) - Commission for Case ...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Lucile Packard Children's Hospital Stanford (Walnut Creek, CA)
- …and case management. Inpatient responsibilities include collaborating with the physician team to round on general surgery inpatients, new patients consults, ... or university. + Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- Houston Methodist (Houston, TX)
- Case Manager-PRN + 9 shifts in a 6 week period (2 weekend shifts) + Must work 1 major holiday, 1 minor holidays + No benefits, No PTO + Must float to all Houston ... Methodist hospitals + Mileage reimbursed + Magnet - ANCC Recognized Certification -- Case Management-related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED… more