- Trinity Health (Silver Spring, MD)
- … management /supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely ... Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
- Sharp HealthCare (San Diego, CA)
- …nursing experience or case management experience + 3 Years recent case management , utilization review , care coordination experience + California ... performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and… more
- Stanford Health Care (Palo Alto, CA)
- …of care guidelines and utilization management principles. + Experience in case management , utilization review , or related healthcare roles. + ... remote Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will...ensure the necessity and appropriateness of care provided. 3. Utilization Review : Conduct thorough utilization … 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
- 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
- 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
- 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
- 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
- Seattle Children's (Seattle, WA)
- …caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director to… more
- Acacia Network (Bronx, NY)
- …required (Bachelor's Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong problem-solving and advanced ... Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job...day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with ... years of inpatient experience in a hospital environment preferred. + Previous case management , utilization review , and discharge planning experience… more
- Brooks-TLC Hospital System, Inc (Dunkirk, NY)
- …years of recent clinical experience in acute care setting. Experience in discharge planning, case management , utilization review , and clinical pathways ... Case Mgmt/Utlization Review Job Description:RN Case Managers apply the Case Management... Case Managers participate in and drive the utilization review process for the hospital by… more
- Banner Health (Page, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- McLaren Health Care (Petoskey, MI)
- Provides overall technical direction and administration to case management and utilization review personnel, ensuring services are provided efficiently ... personnel, the effective management and delivery of case management and utilization review services in accordance with all hospital, system, and… more
- HCA Healthcare (Richmond, VA)
- …work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center ... finances and/or physical disabilities. + As a member of Case Management team you will provides crisis...payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will… more