- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Case Management Managed Care Consultant? At HCA Healthcare, you come first. ... make a difference. We are looking for a dedicated Case Management Managed Care Consultant...of payment on unpaid and underpaid claims. Additionally, the Nurse Subject Matter Advisor will serve as a SMA… more
- Ascension Health (Pensacola, FL)
- …+ **Location:** Pensacola, Florida + Eligible for an annual bonus incentive As the Director of Case Management for our Acute Care Services, you will lead the ... strategy, operations, and performance of our case management program-driving evidence-based care ,...department. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Florida Board of Nursing… more
- Ascension Health (Indianapolis, IN)
- …Health Administration, Business Administration (MBA), or related field + 10+ years of acute care Case Management experience + 5+ years of leadership ... appropriate. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer...experience managing Case Management teams in an acute care setting… more
- Guthrie (Sayre, PA)
- …years of experience in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or ... Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5)...Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care … more
- ERP International (Luke AFB, AZ)
- …that the CMP meets established case management (CM) standards of care . * Provide nursing expertise about the CM process, including assessment, planning, ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in...CM and utilization management (UM) and integrating nursing case management with social… more
- Nuvance Health (Danbury, CT)
- … (RN) license. Minimum of 5 years of progressive leadership experience in hospital case management or care coordination. ACM certification required. Hours: ... of continuous full time employment. Required: Master's degree in Nursing , Social Work or a related field required. Current...education and training to staff on case management best practices, regulatory updates, and care … more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …Prefer 5 years of nursing experience, with 1 year of case management / care coordination experience. Physical Requirements: This position requires ... management , and customer satisfaction throughout the continuum of care . Responsibilities The Community Care Nurse...requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse… more
- Penn State Health (Hershey, PA)
- …of orientation period **PREFERRED QUALIFICATION(S):** + BSN preferred. + Previous experience in case management , care coordination, outcomes management ... **Union:** Non Bargained **Position** Registered Nurse RN Case Manager Outpatient - Qualty Svces ED Care **Location** US:PA: Hershey | Nursing | Part… more
- Baystate Health (Springfield, MA)
- …BSN Strongly preferred + 3-5 years clinical Nursing experience + Hospital Case Management , Care Coordination experience strongly preferred **Skills and ... Manager / Utilization Management ** The **RN Hospital Case Manager** is a registered nurse responsible...plan of care + Leads daily patient care huddles with nursing to direct timely… more
- ERP International (Tinker AFB, OK)
- …that the CMP meets established case management (CM) standards of care . * Provide nursing expertise about the CM process, including assessment, planning, ... are not limited to** : **Core Duties** : Provides case management , care coordination and...CM and utilization management (UM) and integrating nursing case management with social… more
- Mohawk Valley Health System (Utica, NY)
- Transitional Care RN - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is ... + Coordinate processes designed to reduce readmissions with physicians, nursing staff, the patient and care givers....of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and… more
- Banner Health (Phoenix, AZ)
- …completion of a bachelor's degree in case management or health care . Requires current Registered Nurse (RN) license in state worked. For assignments in ... regulatory requirements. 6. Educates internal members of the health care team on case management ...budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and… more
- Fallon Health (Lakeville, MA)
- …a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory Criminal Offender Record ... **Overview** **The Nurse Case Manager is covering Lakeville,...Home Health Care experience preferred * Effective case management and care coordination… more
- University of Southern California (Los Angeles, CA)
- …or patients, related to the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs ... may impede optimal patient care . 3. Complete case management care plans, including... + Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse… more
- Banner Health (Tucson, AZ)
- …completion of a bachelor's degree in case management or health care . Requires current Registered Nurse (RN) license in state worked. For assignments in ... that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care ...regulatory requirements. 6. Educates internal members of the health care team on case management … more
- PruittHealth (Albany, GA)
- …with patients and caregivers and document findings in a concise/comprehensive manner * Develop a case management care plan for each patient based on a ... status utilizing the most cost-effective quality resources through application of model of care practice guidelines and Case Management (CM) Standards of… more
- Henry Ford Health System (Detroit, MI)
- …motivational interviewing, etc. Applicant should also have a basic understanding of case management / care coordination and community resources. Applicant will ... clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of medical ethics and legal… more
- Tenet Healthcare (Detroit, MI)
- …denial information for UR Committee, Denial and Revenue Cycle Collaborate with Patient Access, Case Management , Managed Care and Business Office to improve ... RN Utilization Review - Case Management - 2506004107 Description :...patient is in the appropriate status and level of care based on Medical Necessity and submits case… more
- HCA Healthcare (Atlantis, FL)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Director Case Management . We care for our community! Just last year, HCA ... teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the...(LMSW), required + 3+ years' experience in overall acute care Hospital Case Management , preferred… more
- HCA Healthcare (Charleston, SC)
- …gap assessments, and action plan development to achieve established goals. Directs facility case management regarding care coordination/ case ... preferably within a large multi-hospital system required + 7+ years overall Clinical Case Management experience + Registered Nurse - Currently licensed… more
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