- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management service for ... the direction of the attending provider. The RN Case Manager will assist in identifying and addressing the physical...meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure ... 12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience not supervised by a… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with 24-hour ... accountability for care delivery including budget of a nursing unit(s). The Nurse Manager must be able to navigate proficiently within the EHR. He/She must be able… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ensure ... continuum, including weekend rotation (as needed). The Complex Transitions of Care Team Manager will follow identified patients for a period of time post discharge… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- …skills to minimize patient waiting time, and improve efficiency. Peer, Physician , and patient feedback positive and Manager observation positive.Communicates ... served. Establishes a plan of care consistent with the medical findings and Physician orders. Thoroughly evaluates, monitors, and reassesses all patients on a timely… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …care management) or related field3 years of case management, utilization management, disease management, or behavioral health case management experienceEquivalent ... clinical careMust have at least one of the following:Certification as a case manager from the URAC-approved list of certificationsMaster's degree in a health or… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …Degree in Nursing or related field3 years of case management, utilization management, disease management, or behavioral health case management experienceEquivalent ... care.Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's degree (or higher) in… more
- Sutter Health (Burlingame, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED.… more
- Sutter Health (San Francisco, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Davis, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions… more
- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the day ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- AdventHealth (Altamonte Springs, FL)
- **Senior Manager of Utilization ** **-AdventHealth Well65** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Paid Days ... at a practice)** **The role you'll contribute:** The Senior Manager of Utilization will oversee ED, Inpatient,...BLS certification. . 2 years of experience in a physician 's office, clinical or hospital setting. . Knowledge of… more
- Huron Consulting Group (Chicago, IL)
- …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... improve clinical outcomes, create a consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- The 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 ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
- UNC Health Care (Hendersonville, NC)
- **Description** Job Summary The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
- Sharp HealthCare (San Diego, CA)
- …of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... (MCG). + Experience and understanding of federal and state regulations governing utilization management. + Accredited Case Manager (ACM) - American Case… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment Type:** Full Time **Shift:** Day ... to the Director of Care Management + The RN Manager is responsible and accountable for the operational management,...RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities… more
- Billings Clinic (Billings, MT)
- …appropriate Priority 5: Escalation Refers cases that require second level review to Physician Advisor, Manager , and Director per department process or procedure ... a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician -led health system based in Billings with more than 4,700 employees,… more
