- CHRISTUS Health (Wake Village, TX)
- …school of nursing is required. Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is required. Licenses, ... errors are identified to maximize hospital reimbursement and resource utilization . * Responsible for 24/7 ongoing management ...Works closely to coordinate and collaborate with the ED Case Manager regarding patient class, discharge planning… more
- Trinity Health (Silver Spring, MD)
- …/supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely related ... **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
- Sharp HealthCare (San Diego, CA)
- …experience or case management experience + 3 Years recent case management , utilization review, care coordination experience + California Registered ... Master's Degree in Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for ...competency and individual development planning process.Maintain current knowledge of case management , utilization management… more
- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180750/ case - manager -rn utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Montclair, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/181372/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … 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
- Guthrie (Sayre, PA)
- …outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , discharge planning, ... and care coordination scope of practice within the department. . . The Manager - Case Management collaborates cooperatively with members of the… 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
- Guthrie (Cortland, NY)
- …discharge, based on assessed needs and available resources. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... Position Summary: This is an integrated Case Management and Utilization ...and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for… 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 ... management and the transition of care. The Case Manager actively participates in specific clinical...patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
- Mayo Clinic (Rochester, MN)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… 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:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
- Covenant Health (Nashua, NH)
- …of the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR ... + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager +...Minimum of five years broad clinical experience preferred + Case management and/or Utilization … more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... . Professional development and growth opportunities *Department/Unit Summary* Our Case Management Department primarily serves the adult...offering safe discharge planning is the use of a Utilization RN and Case Manager … 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 ... provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case Management Position Type Full-Time Work Arrangement Onsite ID 2024-4457 more
- Trinity Health (Mason City, IA)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Position Purpose:** The Utilization Review Case Manager responsibilities include ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized...insurance coverage for acute care and skilled care + Case management experience preferred **Position Highlights and… 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
- Penn Medicine (Philadelphia, PA)
- …critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, ... fearful 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
- Prime Healthcare (Reno, NV)
- …Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/183134/ case - manager -rn-union 10hr smrmc- utilization ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager , you will play a key role in processing ... a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the… more
