- Community Health Network (Indianapolis, IN)
- Registered Nurse (RN) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case ... you. **Make a Difference** Community North has a part-time RN Case Manager / Utilization Review position available in the Emergency Department. The Registered… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...staffs. -Case Manager experience as well as Utilization Review experience ( review medical… more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... and effective coordination of care. In this role you will perform utilization review while assuring the delivery of concurrent and post-hospital care. We're also… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Ascension Health (Baltimore, MD)
- …salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes ... with associates in similar roles_ **Registered Nurse, Certified Case Manager (CCM, ACM, URAC) preferred or willing to obtain...review programs and key performance indicators for all utilization review activities. + Interact with medical,… more
- Mayo Clinic (Jacksonville, FL)
- …care by ensuring appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function ... quality clinical, financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/ utilization … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185693/case- manager utilization - review ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of clients in ... this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral Health*… more
- Covenant Health (Bangor, ME)
- …supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other ... members of the healthcare team. The nurse case manager also acts as an advocate for the patient... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Providence (Missoula, MT)
- …Schedule:** Full time **Job Shift:** Day **Career Track:** Nursing **Department:** 3500 UTILIZATION REVIEW **Address:** MT Missoula 500 W Broadway **Work ... **Description** The Nurse Case Manager (NCM) is responsible to manage a caseload...management experience **Preferred Qualifications:** + Upon hire: Current Case Manager Certification **Why Join Providence?** Our best-in-class benefits are… more
- Dignity Health (Stockton, CA)
- …fosters communication trust and personal growth. **Responsibilities** **Position Summary:** Case Manager 1 assists Case Managers in coordinating and monitoring the ... and their families acting as liaison between the case manager treatment team and physicians referral sources outside therapists...agencies and significant others. Under supervision of the case manager and manager of clinical services performs… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... delivering evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical, operational, and… more
- 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 ... discrimination and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Review RN Case Manager * **Location:**… more
- Community Health Systems (Franklin, TN)
- …appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians ... of medical services and procedures in the hospital setting. Utilization review is the assessment for medical...event a facility does not have an ED Case Manager present, the UR Clinical Specialist will collaborate with… more
- Community Health Systems (Franklin, TN)
- …appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians ... and efficiency of medical services and procedures in a Behavioral Health setting. Utilization review is the assessment for medical necessity, both for admission… more
- Fairview Health Services (St. Paul, MN)
- …Work on a variety of special projects and assume other duties as assigned by the Utilization Review Manager or Supervisor. + Understand and focus on key ... **Required** + Bachelor's degree in Nursing + 3-5 years Utilization Review or Case Management experience in hospital, clinic, insurance company,… more
- Behavioral Center of Michigan (Warren, MI)
- …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
- Sharp HealthCare (San Diego, CA)
- …(ICM) team the Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient status before the patient is ... while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management. Expected outcomes include… more
- Lowe's (Charlotte, NC)
- …years of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in ... **Your Impact** The Care Manager is a telephonic medical case management position...for medically managing a minimum caseload of 65 including review of claims identified for Medicare Set-Aside. **What you… more
- South Central Regional Medical Center (Laurel, MS)
- …patients admitted through the ED - work collaboratively with the inpatient care manager and the utilization review department to support transitions ... SUMMARY Through the Quality Care Management department, the Quality Care Manager supports clinical workflow that integrates value-based performance criteria. The… more
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