- ChristianaCare (Newark, DE)
- RN Case Manager - Weekender - Day Shift Saturday & Sunday (Plus one rotating Friday shift). Newark, DE ChristianaCare - Wilmington Hospital is currently ... recruiting an RN Case Manager - Weekender with experience in...Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. Applicant must ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. Applicant must ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- University Health (Pleasanton, TX)
- …nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care… more
- University Health (Boerne, TX)
- …preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance ... a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse… more
- University Health (Pleasanton, TX)
- …preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance ... practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable. more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn- case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
- Dignity Health (Gilbert, AZ)
- …experience + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification + Utilization Review experience **Where You'll ... Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the...acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1… more
- Mohawk Valley Health System (Utica, NY)
- …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, process and procedures ... Management Supervisor is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services.… more
- Mohawk Valley Health System (Utica, NY)
- …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
- Vighter Medical Group (Glendale, CO)
- …team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating ... nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews of medical records… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the ... in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… more
- University of Miami (Miami, FL)
- …System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- Arnot Health (Elmira, NY)
- …to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... Job Description CASE MANAGER - Up to $10,000 Sign...Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily,… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
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