- University of Maryland Medical System (Largo, MD)
- …the health status of Prince George's County residents. Job Description Assistant Nurse Manager - Emergency Department Full-time / Night-shift UM Capital Region ... Develops and implements clinical utilization strategies which support clinical pathways, discharge planning and case management.Under the direction and… more
- 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)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... Work Experience: 7 years-healthcare program management. Preferred Licenses and Certificates: Case Manager Certification, clinical certification in specialty area… 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
- Molina Healthcare (Seattle, WA)
- …Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion (CHEP) ... public health or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or behavioral health settings.… 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
- 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
- Covenant Health (Nashua, NH)
- …and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk ... procedures. + Maintains/enhances professional development/skills required to function as a Case Manager and fulfills organizational requirements (ie, data entry,… 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
- 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
- Elevance Health (Grand Prairie, TX)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management ( UM /UR) for members receiving transplant… more
- Guthrie (Sayre, PA)
- …in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management, discharge planning, denial prevention, ... manner in the most cost-effective setting. Qualifications A minimum of two years Acute Case Manager experience; 2 years of experience in a supervisory or lead… 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)
- …RN license Board Certification:** Possess one of the following certifications: 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
- 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
- ERP International (Tyndall AFB, FL)
- **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager ** in support of the Wounded Warrior program at the 325th Medical ... software, and databases for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case… more
- Mount Sinai Health System (New York, NY)
- …staff Monitors and coordinates the designation of alternative level of care with the UM Manager and/or Program Manager and Physician. Notifies and ... patient admission is approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic...documentation for Photo Copying Service, outside 2nd party / Discharge Appeals in normal pursuit of regular UM… more
