- CHRISTUS Health (Wake Village, TX)
- …patient class and level of care of patients entering the CHRISTUS Health system to ensure the appropriate utilization of resources and maximize appropriate ... screening, and documentation of patient entry into the CHRISTUS Health System . The Registered Nurse Clinical Care Coordinator will collaborate with relevant… more
- UPMC (Hanover, PA)
- **UPMC is hiring a Professional Care Manager to support the Utilization Review process! This is a full time, day shift position with a rotating weekend and ... a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for...delays in discharge. Documents all Avoidable Days in CANOPY system . + Performs clinical review on admission… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Position Purpose:** The Utilization Review Case Manager responsibilities include case ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the...North Iowa is part of Iowa's largest multispecialty clinic systems . In north Iowa, our clinics are made up… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for...System is one of the largest academic medical systems in the New York metro area, with more ... medical records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to… more
- Trinity Health (Silver Spring, MD)
- …time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under the supervision and in collaboration with the Director, ... activities of hospital staff in inpatient care coordination and utilization review . Oversees interactions of staff with...trusted provider of health services within our community. A Manager at Holy Cross Hospital is expected to demonstrate… 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 ... in conjunction with a Social Worker. *About our Health System * SOVAH Danville is a 250 bed hospital located...in employment." **Job:** **Nursing* **Organization:** ** **Title:** *RN - Utilization Review Case Manager * **Location:**… more
- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices. +… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor sources. Identifies ... confidentiality, knowledge of medical terminology, treatment plans, health care delivery systems , severity of illness and intensity of treatment criteria. Sharp… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **BayCare Health System ** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate ... team. **The Utilization Review Specialist Senior responsibilities include:** +...in Critical Care or Emergency Service **Facility:** BayCare Health System , Utilization and Denials Mgmt-MPH **Location:** **Morton… more
- Hartford HealthCare (Torrington, CT)
- …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively...activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies and other referral… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The ... Utilization Review Specialist coordinates scheduling of all...System is one of the largest academic medical systems in the New York metro area, with more… more
- Sharp HealthCare (San Diego, CA)
- …immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in system or site-level utilization review activities and projects as ... System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse (RN) position ... care to our patients. This position is responsible for utilization review , assessment of discharge planning needs...acute care setting. + Minimum one-year experience as case manager in acute care setting preferred. + Critical thinking,… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest ... from ongoing review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education… more
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... State of Michigan. + Minimum of three years clinical experience required. Previous utilization review and/or case management in a hospital or insurance industry… more
- Sharp HealthCare (San Diego, CA)
- …intervention to UR Manager , Physician Advisor, as appropriate. Participate in system or site-level utilization review activities and projects as ... the Per Diem RN (Adv CN)-Unit A4 position supports utilization review functions to ensure appropriate patient...Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM)… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- UNC Health Care (Raleigh, NC)
- **Description** **Full time on-site staff Utilization Manager ** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... case management experience + 3 Years recent case management, utilization review , care coordination experience + California...next level of care; work closely with ambulatory care manager (ACM) at the system level, in… more
