- ChristianaCare (Newark, DE)
- …State is required. BSN required. One year of experience as an RN Case Manager or UM Required. Experience in an inpatient hospital setting with a focus on ... RN Case Manager - Weekender - Day...RN Case Manager - Weekender - Day Shift Saturday &...Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and… more
- Overlake (Bellevue, WA)
- …Two years inpatient case management experience preferred Prior case management, utilization management, and/or payer experience required. Ability to ... - $77.69 Overlake has an outstanding opportunity for a Complex Nurse Case Manager to join our team. The position is full-time onsite, Monday-Friday. Schedule:… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- HCA Healthcare (Dallas, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager ( Inpatient ) Mount Sinai Morningside FT Days EOW** The Case Manager (CM) will be responsible for all aspects of ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...continued stay reviews utilizing standardized criteria to justify continued inpatient stay. 3. Collaborates with Physician and other clinicians… more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Cambridge Health Alliance (Cambridge, MA)
- RN Case Manager - Inpatient Case Management CH **Requisition Number:** 10694 **Pay Range:** $41.58 - $93.96 per hour **Location** : CHA Cambridge ... : rotating weekend/ **Category** : Registered Nurse **Department** : Inpatient Case Management CH **Job Type** :...supervision of the Director of Care Management, the RN Case Manager provides clinically-based case … more
- Texas Health Resources (Dallas, TX)
- Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective utilization… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 10686 **Pay Range:** $41.58 - $93.96 per hour **Location** : CHA Everett ... Monday - Friday **Category** : Registered Nurse **Department** : Inpatient Case Management Everett **Job Type** :...supervision of the Director of Care Management, the RN Case Manager provides clinically-based case … more
- Henry Ford Health System (Detroit, MI)
- …to Weekends - Saturday & Sunday from 8am-6:30pm Onsite Only GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Cedars-Sinai (Marina Del Rey, CA)
- …staff member feels like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management ( Inpatient ) - Per Diem (8-hour day shifts) - ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified… more
- Mayo Clinic (Phoenix, AZ)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
- Highmark Health (Jefferson Hills, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
- Henry Ford Health System (Detroit, MI)
- …Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to ... for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American ...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Sanford Health (Bismarck, ND)
- …Range:** $34.00 - $51.00 **Department Details** We are seeking a compassionate and skilled Inpatient Case Manager to join our dedicated care team. In ... care across disciplines, and ensuring safe, seamless transitions from inpatient care to the next level of services. As...care to the next level of services. As a Case Manager , you'll be both an advocate… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... retrospective review of inpatient admissions and services. This position will obtain authorization...access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every ... Daylight M-F, 40 hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... RN Utilization Review - Case Management -...with the attending status changes, order clarifications, observation to inpatient changes for all payors Reviews the OR, IR… more
- Houston Methodist (Houston, TX)
- …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED**… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain… more
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