- Ascension Health (Kalamazoo, MI)
- …preferred. **Additional Preferences** There will be a dual focus on case management and utilization review in this position + Case Management ... **Details** + **Department:** Case Management + **Schedule:** Monday through...experience - Strongly preferred + Utilization Review experience - Strongly preferred **Why Join Our Team**… more
- Community Health Network (Indianapolis, IN)
- …to promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management and ... Registered Nurse (RN) Case Manager/ Utilization Review ...North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case Management … more
- Stanford Health Care (Palo Alto, CA)
- …**Required Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review , social work, care ... leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by...program development for the Department of Social Work and Case Management . Additionally, this position serves as… more
- MetroHealth (Cleveland, OH)
- …organizational and time management skills. Preferred: Two years of experience with case management , utilization review . Physical Demands: May need ... level of care at the point of entry. The utilization review nurse will work on defined...management , and PC skills. Current working knowledge of, utilization management , case - management ,… more
- Lawrence General Hospital (Lawrence, MA)
- …health care team as well as the integrated care team and supports the case management / utilization review team on system-wide quality ... EDUCATION AND EXPERIENCE: * Bachelor's Degree * 1-2 year case management and utilization review experience in an acute care setting * Knowledge and… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... potential or identified concerns to the treatment team, Director of Utilization Management , and the Medical Director. + Review charts at identified review… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- LifePoint Health (Bullhead City, AZ)
- …to promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management of ... ExperienceMinimum of five (5) years management experience, five (5) years of utilization review / case management experience in an acute short term… more
- Guthrie (Cortland, NY)
- Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted ... clinical experience: five (5) years of experience in an acute care setting with strong case management , utilization review and payer knowledge. Case … more
- WellSpan Health (Lebanon, PA)
- …to identify and resolve barriers for staff. Common Expectations: + Demonstrates knowledge of case management , utilization review and population health. ... nurses and administrative staff, focused on care progression, emergency room case management support, readmission, and utilization management… more
- Novant Health (Mint Hill, NC)
- …operations, monitoring ongoing quality, productivity, and efficiency for both Utilization Review and Case Management activities. Is available for staff ... Certification (CCM), preferred. + Additional Skills (required): Current practice in case management / utilization review ; regulatory/governing standards,… more
- UNC Health Care (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **Job Details** Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Case Management Services Work Type: Full Time Standard Hours Per Week:… more
- Trinity Health (Pontiac, MI)
- …promote continuity of care and cost effectiveness through the integration and functions of case management , utilization review and discharge planning. ... room) with recent (within 2 -3 years) experience in utilization review / management /discharge planning or case management preferred. Current knowledge… more
- Hackensack Meridian Health (Hackensack, NJ)
- …software to retrieve necessary information, inclusive of free text fields, to support the case management , utilization review process. 5. Retrieves ... serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and...discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed… more
- Glens Falls Hospital (Glens Falls, NY)
- …30 hours per week, can be foundhere. **Job:** **Nursing - Case Management * **Title:** *RN - Utilization Review Nurse* **Location:** *NY-Glens Falls* ... accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing...degree RN with relevant experience and obtains certification in case management (CCM or ACM) within 1… 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 ... all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized criteria… more
- Alameda Health System (San Leandro, CA)
- …of California. **Additional Information** Note: Must have Hospital Case Management or Utilization Review experience. **Qualifications:** Education: ... The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and… more
- Calvary Hospital (Bronx, NY)
- … Department which is responsible for the coordination of the hospital-wide functions of Case Management , Utilization Review and Discharge Planning. ... years experience in Nursing + Minimum of five (5) years of experience in Case Management , Utilization Review or Discharge Planning required. + Two (2)… more
- Scripps Health (San Diego, CA)
- …in a lead or supervisory role. * Minimum of 2 years' experience in case management / utilization review , discharge planning, and Millman/InterQual criteria ... Children's Fund (UNICEF). We invite you to join our Scripps Memorial Hospital Encinitas Case Management team as a Supervisor of Case Management . As a… more
- BayCare Health System (Clearwater, FL)
- …+ 2 years - Case Management + 2 years - Utilization Review + Managed care strongly preferred **Facility:** BayCare Health System, Utilization ... be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Nurse - Health Plan **Location** Clearwater:Park… more