• Utilization Management

    UCLA Health (Los Angeles, CA)
    …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 at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play...computer applications and logs + Monitor members/patients followed by Case Management + Work directly with a… more
    UCLA Health (09/01/24)
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  • Clinician I/II, Intensive Case

    UT Health (Houston, TX)
    …. Clinical responsibilities will include intensive case management , contributing to treatment planning, participating in utilization review for ... individual and group treatments, medication management , and intensive case management to our...progress toward discharge in order to prevent both the over- utilization and the under- utilization of inpatient treatment… more
    UT Health (11/09/24)
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  • Intensive Intervention Case Manager

    Little City Foundation (Palatine, IL)
    case manager ratio), in-depth, person-centered, and assertive multi-disciplinary case management approaches across processes: screening and intake, ... Intensive Intervention Case Manager Job Details...care team members as relevant.11. On-Call: Participates in rotating case management on-call schedule outside regular business… more
    Little City Foundation (11/28/24)
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  • Case Manager RN - Utilization

    Prime Healthcare (National City, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180750/ case -manager-rn utilization - management ... years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , preferred.4.… more
    Prime Healthcare (11/19/24)
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  • Nursing Supervisor (RN/LPN) - Community…

    Commonwealth Care Alliance (Boston, MA)
    …KPI documentation requirements within the medical record + Care coordination and case management for patients in collaboration with providers + Post-Hospital ... care of individuals with significant medical, behavioral, and social complexities that require intensive care management and care delivery. Reporting to an APC… more
    Commonwealth Care Alliance (11/26/24)
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  • Mental Health Intensive Care Coordinator…

    The Home for Little Wanderers (Dorchester, MA)
    …CSA Park Street located in Dorchester, seeks a Full-Time Mental Health Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....disturbance. Under the direction of Program Director and Senior Intensive Care Coordinator; facilitates the development and implementation of… more
    The Home for Little Wanderers (10/25/24)
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  • Utilization Review RN *Part-time/Days

    Providence (Mission Hills, CA)
    …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. The ... Utilization Management RN must effectively and efficiently manage a diverse...remote UR environment or working as an acute hospital case manager. **Preferred Qualifications:** + Bachelor's Degree in Nursing.… more
    Providence (11/25/24)
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  • Charge Nurse I - Cardiovascular Intensive

    Roper St. Francis (Charleston, SC)
    …to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. Actively engages in patient care performance ... run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review surgical schedules. Ability to… more
    Roper St. Francis (11/26/24)
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  • RN Acute Case Manager - Case

    Guthrie (Cortland, NY)
    …reduce costs and optimize reimbursement. a. Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternate ... Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes… more
    Guthrie (11/13/24)
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  • Manager of Case Management

    Houston Methodist (Baytown, TX)
    …(MSW) + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or ... to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and… more
    Houston Methodist (10/05/24)
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  • Director, Case Management

    LifePoint Health (Bullhead City, AZ)
    …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management of ... 16 emergency department beds, 12 acute rehabilitation beds, 12 intensive care beds, 6 major operating rooms and 2...years management experience, five (5) years of utilization review / case management more
    LifePoint Health (11/05/24)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative ... in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case more
    Guthrie (11/13/24)
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  • Manager of Case Management

    HCA Healthcare (Fort Pierce, FL)
    …care and appropriate resource utilization . Skills + In-depth knowledge of case management , discharge planning, and utilization review practices and ... manage in a new era as a Manager of Case Management where building a healthier tomorrow...offer the area's only Level III Neonatal and Pediatric Intensive Care Units. At HCA Florida Lawnwood Hospital patients… more
    HCA Healthcare (11/21/24)
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  • RN Case Manager - Case

    Guthrie (Corning, NY)
    …optimize case reimbursement. 4. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care ... assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs).… more
    Guthrie (09/12/24)
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  • Manager of Case Management Services

    HCA Healthcare (Overland Park, KS)
    **Description** **Introduction** Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our ... Healthcare facility. Be an impact as a(an) Manager of Case Management where your passion for leading...supporting a balance of optimal care and appropriate resource utilization . + Serves as a role model and functions… more
    HCA Healthcare (10/31/24)
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  • Nurse Manager Case Management

    HCA Healthcare (Myrtle Beach, SC)
    …integrity. We care like family! Jump-start your career as a **Nurse Manager Case Management ** today with Grand Strand Medical Center. **Benefits** Grand Strand ... location._** Come join our team as a **Nurse Manager Case Management ** . We care for our...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Associate Degree… more
    HCA Healthcare (10/26/24)
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  • Case Manager Advanced (RN) - ED

    Houston Methodist (Baytown, TX)
    …ethics/healthcare law, clinical skill, etc. + Expert knowledge of discharge planning, utilization management , case management , performance improvement ... team for special project activities related but not limited to, throughput, readmissions, and utilization management to align with the visions and goals of the… more
    Houston Methodist (09/14/24)
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  • Case (RN) Case Management Per…

    RWJBarnabas Health (Belleville, NJ)
    …- 3 years experience in a hospital setting + Minimum of one year experience in Case Management , Utilization Management or Home Care + Successful ... Case (RN) Case Management ... Case (RN) Case Management Per Diem DayReq #:0000176082...is seeking a highly dedicated Registered Nurse for our Intensive Care Unit at Clara Maass Medical Center in… more
    RWJBarnabas Health (11/20/24)
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  • Case Manager, RN - Case

    Hawaii Pacific Health (Lihue, HI)
    …care, community or long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. ... The medical center also has four birthing suites, seven intensive care beds and 20 same-day surgery beds. Wilcox...caregivers working together to create a healthier Hawai'i. The Case Management team puts great emphasis on… more
    Hawaii Pacific Health (11/18/24)
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  • San Leandro Hospital Case Manager RN, Full…

    Alameda Health System (San Leandro, CA)
    …goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the transitional period beginning with ... The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and… more
    Alameda Health System (09/06/24)
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