• Prisma Health (Greenville, SC)
    …capabilities. Strong collaboration among a dedicated team including physicians, surgeons, nurses, case management , therapy and social work to provide consistent ... utilization of unit resources. Shares accountability with Nurse Manager for unit/department/organizational goal achievement.Assists in planning, directing, and… more
    JobGet (11/01/24)
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  • SRS-Inpatient Case Manager II…

    Sharp HealthCare (San Diego, CA)
    …experience or case management experience + 3 Years recent case management , utilization review, care coordination experience + California Registered ... Master's Degree in Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for ...competency and individual development planning process.Maintain current knowledge of case management , utilization management more
    Sharp HealthCare (10/30/24)
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  • Interim Manager - Case

    Trinity Health (Silver Spring, MD)
    …/supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely related ... **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
    Trinity Health (10/10/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (10/17/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (11/02/24)
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  • Manager , Case Management

    Guthrie (Sayre, PA)
    …outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , discharge planning, ... and care coordination scope of practice within the department. . . The Manager - Case Management collaborates cooperatively with members of the… more
    Guthrie (08/14/24)
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  • Appeals Manager , Department…

    BronxCare Health System (Bronx, NY)
    …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
    BronxCare Health System (09/18/24)
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  • UMII Transfer and Admission - Utilization

    Sharp HealthCare (San Diego, CA)
    …+ Experience and understanding of federal and state regulations governing utilization management . + Accredited Case Manager (ACM) - American Case ... CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (09/06/24)
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  • Per Diem RN - Utilization Management

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management...in Healthcare or a related field + 3 Years Utilization Management or case more
    Sharp HealthCare (11/02/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. *Essential Functions* 1. Case Manager independently performs initial and ongoing discharge… more
    LifePoint Health (08/11/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** *RN- Case Management * **Location:** *NC-Wilson* **Requisition ID:** *7462-9117* more
    LifePoint Health (10/20/24)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Springfield, MO)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (11/05/24)
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  • Case Manager ( RN / RT / SW / LPN…

    Select Medical (San Diego, CA)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (10/26/24)
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  • Director - Care Coordination

    Dartmouth Health (Lebanon, NH)
    …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... to seven years of leadership experience in care coordination, case management , or utilization review,...Case Manager , Certified Case Manager , or Case Management Administrator… more
    Dartmouth Health (09/11/24)
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  • RN Case Manager

    Trinity Health (Hartford, CT)
    …Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager ; Registered Nurse; RN; BSN; Connecticut; utilization management ** **Our ... $10,000 sign-on bonus.** **Position Purpose** At **Saint Francis Hospital** our **RN Case Manager ** are responsible for coordinating patient care, assessing… more
    Trinity Health (10/05/24)
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  • Utilization Review Case

    Covenant Health (Nashua, NH)
    …of the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR ... + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager +...Minimum of five years broad clinical experience preferred + Case management and/or Utilization more
    Covenant Health (10/31/24)
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  • RN - Utilization Review Case

    LifePoint Health (Danville, VA)
    *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... . Professional development and growth opportunities *Department/Unit Summary* Our Case Management Department primarily serves the adult...offering safe discharge planning is the use of a Utilization RN and Case Manager more
    LifePoint Health (09/10/24)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case Management Position Type Full-Time Work Arrangement Onsite ID 2024-4457 more
    Helio Health Inc. (11/02/24)
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  • Case Manager (LVN)…

    Sharp HealthCare (San Diego, CA)
    …and refer members to case management or quality management as appropriate for utilization or quality issues while maintaining department ... of need for further management , communicates this to the appropriate Case Management Program per UM policy.Gathers pertinent information to provide … more
    Sharp HealthCare (10/30/24)
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  • Case Manager - Utilization

    Trinity Health (Mason City, IA)
    …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized...insurance coverage for acute care and skilled care + Case management experience preferred Special Skills and… more
    Trinity Health (09/06/24)
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