- Commonwealth Care Alliance (Boston, MA)
- …to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the… more
- University of New Mexico - Hospitals (Corrales, NM)
- …reading current literature, attending in-services, meetings and workshops * VARIANCE - Review variance from standardized protocols of care with health care team ... health care team * DATA - Perform assessment, data collection, obtain, review , and analyze information in collaboration with the patient, family, significant others,… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work with...coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts… more
- CSL Behring (King Of Prussia, PA)
- …make a meaningful difference worldwide. We are looking for a **Associate Director,** ** Case Management Intake & Submissions** to join our R&D team. Under Case ... entry of reports into the global safety database by the vendor. Under Case Submissions, you will be responsible for providing accurate implementation of global… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time **Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management, care coordination and discharge/disposition planning for inpatient and… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... America) **This is a Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …- UH FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers and for the ... Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census … more
- CSL Behring (King Of Prussia, PA)
- …a meaningful difference worldwide. Could you be our next Senior Director, Head of Global Case Management ? The job is in our King of Prussia, PA, Maidenhead UK or ... while maintaining strict compliance with global regulations. The Head of Global Case Management will develop and implement innovative case management strategies… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- Description Job Title: Mobile FAP Case Manager ** This job will require frequent, and potentially consecutive, travel for 3-6 months at a time to provide in-person ... offender accountability, and a consistent and appropriate coordinated community response. Mobile FAP case managers will surge on demand for three to six months at a… more
- CSL Behring (King Of Prussia, PA)
- …compliance and process optimization. Oversees Medical Evaluators responsible for medical review of ICSRs. **Key Responsibilities** Oversight of Case Management ... a meaningful difference worldwide. You will oversees all areas of single case processing in the global pharmacovigilance database from all sources. This includes… more
- Luke Staffing (Agana Heights, GU)
- …professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and identify . opportunities ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER** **SITE OF SERVICE:** . US Naval...of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,… more
- Zeiders Enterprises, Inc (Camp Lejeune, NC)
- Description Job Title: Non-Medical Case Manager Zeiders is an industry leader in military and family support. Our company's reputation is based on providing top ... the transition to veteran status or return to active duty. Non-Medical Case Managers (NMCM) provide extended support, and outreach calls for non-complex, non-medical… more
- Battelle Memorial Institute (Tampa, FL)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager** to join our team in support of our government customer, US ... comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and...parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential… more
- Interim HealthCare (Greenwood, IN)
- …Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical ... Description Our Registered Nurse Case Managers (RNCM) have been called to care...to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager** is a valuable member of our team, who provides clinical services to our ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes… more
- Outlier AI (Corpus Christi, TX)
- …phases, lower rates may apply. Certain projects offer incentive payments. Please review the payment terms for each project. Equal Opportunity Employer: Outlier is ... committed to fostering a diverse and inclusive work environment. xhqgsiq We welcome applicants from all backgrounds and celebrate diversity in our workforce. more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …**UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and network facilities ... 8:00 AM - 5:00 PM CST (Flexible) **Responsibilities** A. Performs necessary review to ensure compliance with HHSC and other regulatory entities + Collaborate:… more
- Arvinas (New Haven, CT)
- …Radiology Reviewer activities, Central Lab on-boarding etc **Study Data Review and Analysis** + Lead development of Medical Monitor Plans + Perform ... will have a substantial role in the development of the clinical documents, the review of scientific and clinical data and the communication of data to the scientific… more
- RUEB STOLLER DANIEL LLP (Carlsbad, CA)
- …The Docket Managing Attorney leads the full lifecycle of the docketincluding case review , eligibility decisions, client communication, filing, and early ... the dockets Case Managers and Paralegals, providing guidance on case review , client communications, documentation accuracy, and adherence to internal… more
- Parexel (Washington, DC)
- …+ Actively mentoring Patient Safety Physicians to develop their skills and expertise ** Case report medical review (as applicable)** + Performing medical ... source documents, assign appropriate Medical Dictionary for Regulatory Activities (MedDRA) code, review narrative + Identify and resolve case issues, coordinate… more
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