• Utilization Review Case Manager

    Covenant Health (Bangor, ME)
    …for the patient and assists in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical necessity reviews in ... Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of the healthcare team.… more
    Covenant Health (11/27/24)
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  • Manager Case Management UR

    McLaren Health Care (Petoskey, MI)
    Provides overall technical direction and administration to case management and utilization review personnel, ensuring services are provided efficiently and ... through subordinate supervisory personnel, the effective management and delivery of case management and utilization review services in accordance with all hospital,… more
    McLaren Health Care (11/15/24)
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  • Registered Nurse Level 2 Case

    UR Medicine Home Care (Geneva, NY)
    UR Medicine HOMECARE is looking for RN Home Care Case Managers, come join our team Advantages to working at UR Medicine Home Care: + Day Shift, Monday - ... Ability to build and maintain professional relationships + Current NYS driver's license Salary Range: $73,652 to $86,548 UR Medicine is an Equal Opportunity Employer more
    UR Medicine Home Care (11/05/24)
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  • RN - CHHA Case Manager Float…

    UR Medicine Home Care (Rochester, NY)
    …experience in a CHHA and looking to have a positive effect on our community, UR Medicine Home Care currently has the ideal opportunity for you! Benefits offered: A ... pay is $45.00 an hour! Advantages to working at UR Medicine Home Care: + Day Shift, Monday -...year + Flexible schedule Provides direct patient care and/or case management within a patient and family centered care… more
    UR Medicine Home Care (10/16/24)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    …provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director ... Using Seattle Children's leadership qualities and values-based behaviors the manager is accountable for achieving goals and key performance indicators… more
    Seattle Children's (11/21/24)
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  • RN - Monday - Friday - $10,000 Sign On Bonus

    UR Medicine Home Care (Rochester, NY)
    …Revises plan of treatments and discharge plan in conjunction with registered nurse case manager , patient, family, physician, care delivery team, and third party ... Home care is the field for you - and UR Medicine Home Care is the place! We are...of our patients and enjoy a fulfilling career with UR Medicine Home Care. Be a part of a… more
    UR Medicine Home Care (10/11/24)
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  • EHS Manager

    UR Medicine Home Care (Rochester, NY)
    Position Summary: The Environmental Health & Safety (EHS) Manager develops, implements, and monitors company environmental health and safety (EH&S) programs and ... and conduct root cause analysis for accident reports and evaluate injury case studies. + Manages agency Emergency Preparedness Plan including facilitating Emergency… more
    UR Medicine Home Care (11/14/24)
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  • Registered Nurse - Level 1 Weekday and Weekend…

    UR Medicine Home Care (Geneva, NY)
    …Revises plan of treatments and discharge plan in conjunction with registered nurse case manager , patient, family, physician, care delivery team, and third party ... Home care is the field for you - and UR Medicine Home Care is the place! We are...for the Key Performance Indicators (KPI's) established by their manager . E. Performs other duties as requested. QUALIFICATIONS: 1.… more
    UR Medicine Home Care (10/23/24)
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  • Home Health Aide Training

    UR Medicine Home Care (Rochester, NY)
    UR Medicine Home Care is seeking candidates for...example, prosthesis. + Observes and reports to the patient's Case Manager any changes in the client's ... 25 Elite Home Care Agencies! Advantages to working at UR Medicine Home Care: + FREE TRAINING + PAID...for the Key Performance Indicators (KPI's) established by their manager . + Consistently demonstrates ICARE values to patients, patient's… more
    UR Medicine Home Care (09/28/24)
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  • Supervisor Care Management and UR - St…

    Providence (Anchorage, AK)
    …and/or ambulatory clinic experience. **Preferred Qualifications:** + Certification as an Accredited Case Manager from the American Case Management ... Association or as a Certified Case Manager from the Commission for Case Managers upon hire + 2 years of Case Management experience including utilization… more
    Providence (11/01/24)
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  • MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Internal… more
    Henry Ford Health System (11/12/24)
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  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: + Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
    Mount Sinai Health System (11/29/24)
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  • RN Acute Case Manager - Case

    Guthrie (Cortland, NY)
    …integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for achieving timely, optimal ... and operational outcomes, coordinated and in cost effective manners. The Acute Case Manager has the responsibility and accountability for assessing, planning,… more
    Guthrie (11/13/24)
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  • Case Manager Emergency Department…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: 1. Maintains a working knowledge of the UR requirements of each payor within the patient population;… more
    Mount Sinai Health System (11/26/24)
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  • Case Manager

    Ellis Medicine (Schenectady, NY)
    …Planning or Home Care experience is highly preferred. Requirements: * Adheres to the Case Management Philosophy and practices of the UR /QA DP and SW policies ... with the attending, consultants, and the clinical department timely. Accurately documents UR activity on Case Management Worksheets. Adheres to observation unit… more
    Ellis Medicine (09/20/24)
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  • Acute Nurse Case Manager

    ChenMed (St. Louis, MO)
    …ADLs, caregiver availability) + Facilitates the discharge plan in coordination with the hospital case manager , insurance case manager , social worker and ... information to the patient/caregiver, hospital staff. + Identifies patients for Community Case Manager or disease management (DM) programs and identifies patient… more
    ChenMed (10/01/24)
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  • San Leandro Hospital Case Manager

    Alameda Health System (San Leandro, CA)
    San Leandro Hospital Case Manager RN, Full Time, Benefited, Days, 8hrs, 1.0fte + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - Day + ... + Posted:October 31, 2024 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents… more
    Alameda Health System (09/06/24)
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  • Staff Nurse- Case Manager - Mount…

    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 patients ... and identify the expected length of stay (ELOS). The case manager works collaboratively with physicians, social...Utilization Review: * Maintains a working knowledge of the UR requirements of each payor within the patient population… more
    Mount Sinai Health System (10/16/24)
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  • Case Manager RN | Negotiable Pay

    Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
    Registered Nurse (RN) Case Manager - Monday thru Friday, On Site **The position is on site at the facility, and remote work will not be considered.** Benefits of ... the Registered Nurse (RN) Case Manager : + It Really Pays to...to gather appropriate skilled documentation + Key player in UR /Medicare meeting + Attends clinical meetings as appropriate +… more
    Spring Creek Rehabilitation and Nursing Center (11/19/24)
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  • Clinician I/II, Intensive Case

    UT Health (Houston, TX)
    Clinician I/II, Intensive Case Manager - UTHealth Houston Behavioral Sciences Campus **Location:** Houston, Texas **Hot** **Category:** Clinical Professionals ... **Intensive Outpatient (IOP), and Partial Hospitalization (PHP)** **Programs** . The Intensive Case Manager will play a critical role in providing comprehensive… more
    UT Health (11/09/24)
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