- LifePoint Health (Las Cruces, NM)
- …state or local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *RN Case Manager - UM - PRN* **Location:** *New Mexico-Las ... * Effectively utilizes hospital resources in the development of care, discharge planning and Utilization Review. * Utilization Management performs prospective,… more
- ManpowerGroup (Columbia, SC)
- …+ Identify and make referrals to appropriate staff (eg, Medical Director, Case Manager , Preventive Services, etc.). + Participate in data collection/input ... + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required...guidelines, including ERISA, NCQA, URAC, DOI, and DOL. + ** Discharge Planning & Service Needs Assessment (25%)** + Work… more
- Elevance Health (Grand Prairie, TX)
- …denied. + Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure ... member's needs for early identification of and proactive planning for discharge planning. + Facilitates member care transition through the healthcare continuum… more
- The Cigna Group (Bloomfield, CT)
- …is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, or an individual who has worked in a mental ... service as a mental health or chemical dependency counselor. As an Inpatient Care Manager at Evernorth, you will use your clinical knowledge and skills to evaluate… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …the care for a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager , nurse, and other members of the treatment team, ACCESS ... staff and PFS department to ensure appropriate utilization of resources and benefits on a case by case basis. Applies case management and utilization review… more
- Sharp HealthCare (San Diego, CA)
- …in the acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + ... and Chula Vista.** **What You Will Do** **To provide discharge planning and coordination of care for members hospitalized...hospital stay beginning with the admission review of the case manager and reviews with the … more
- Omaha Children's Hospital (Omaha, NE)
- …with the family and health care team to assess for diagnosis, care needs, and discharge plans. + Introduces Nurse Case Management (NCM) role to family. + ... with physicians and other disciplines to coordinate care and facilitate a discharge plan of care. Promotes efficient and effective service delivery through enhanced… more
- University of Michigan (Ann Arbor, MI)
- …comprehensive, integrated discharge plan from the emergency department(ED). The RN Case Manager will recommend and document patient classification of all ... RN CASE MANAGER : University Hospital (Care Management)...individual development planning process + Maintains current knowledge of case management, utilization management, and discharge planning… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...for professional growth and development as related to the case manager position and maintenance of CM… more
- UNC Health Care (Raleigh, NC)
- …the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with ... Alert care team to concerns that could impact anticipated discharge of the patient and any care that will...CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting… more
- Dignity Health (Northridge, CA)
- …insurance setting is required. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of ... care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) Case … more
- Meriter-UnityPoint Health (Madison, WI)
- …of a care plan and facilitates an interdisciplinary approach to patient care and discharge planning. The RN Case Manager collaborates and maintains close ... Worker and other Care Coordination team members. The RN Case Manager identifies patients with discharge...The RN CM collaborates with the Enterprise Utilization Management ( UM ) RNs and Coordinators to communicate the plan for… more
- ERP International (Lemoore, CA)
- …Close cases when goals are met, patient declines service, patient transitions to another case manager or patient needs are no longer identified. Provide case ... new to the role and/or facility providing scientific and practice-based knowledge per the Case Manager Core Competencies. Provide support to other case … more
- Covenant Health (Nashua, NH)
- …Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning assignments ... Summary Conducts medical necessity reviews in accordance with the Utilization Management ( UM ) plan for patients that are housed on a nursing unit, to include… more
- Blue KC (Workman, MN)
- …Certification within 3 years of hire date or within 3 years of transferring into the Case Manager role + Membership of local Case Management Society of ... Gaps in Care, and Social Determinants of Health needs. + Current certification as Certified Case Manager **Blue Cross and Blue Shield of Kansas City is an equal… more
- RWJBarnabas Health (Newark, NJ)
- …Req#:0000176342 Status:Per Diem Shift:Day Department name: Case Management Job Overview: The RN Case Manager Discharge Planner will be responsible for all ... Management Location: Newark Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Case Manager Location:Newark Beth Israel Medical Center… more
- SSM Health (St. Louis, MO)
- …Regular **Job Highlights:** **You may be eligible for a $25,000 Sign On Bonus! RN Case Manager opportunity to work with a colloborative team at SSM Health Saint ... Managers colloborate with Social Workers for care coordination and discharge planning and exclude UM or UR.... management process, admission process, and act as a case manager liaison with post acute providers… more
- ERP International (Twentynine Palms, CA)
- …of the following certifications: (Must obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of… more
- Dartmouth Health (New London, NH)
- …patient needs and resources within 1-2 business days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding ... department to provide comprehensive full spectrum care coordination and discharge planning for each patient. Coordinates transfers to appropriate facilities… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more