- Hartford HealthCare (Torrington, CT)
- …**Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager (LCSW) - ... Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review... activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies… more
- UNC Health Care (Raleigh, NC)
- …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
- UNC Health Care (Chapel Hill, NC)
- …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
- UNC Health Care (Raleigh, NC)
- …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
- UNC Health Care (Hendersonville, NC)
- … care management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... well-being of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support...based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications… 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:** ... 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is...the activities of RN Case Managers for in inpatient care coordination and utilization review .… 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 ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with...of progressive acute care leadership and acute care utilization review experience. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review ** , responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including: + Staff schedules to ensure appropriate department coverage, equitable… more
- UNC Health Care (Hillsborough, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- Trinity Health (Mason City, IA)
- …**Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, ... experience as a registered nurse involving community contact, knowledge of managed care , resource utilization criteria, Medicaid, insurance coverage for acute … more
- WellSpan Health (York, PA)
- Utilization Care Manager Location: York Hospital, York, PA Schedule: Part Time Hours: M-F Days Part Time: 20 hours/week General Summary Performs a variety of ... clinical treatment administered by the provider. + Coordinates services with medical utilization / care management personnel of other health plans to ensure… more
- Billings Clinic (Billings, MT)
- …, CMS 2 Midnight Rule, or payer authorization for status and level of care Priority 2: Performs Utilization Review (UR) Activities Completes concurrent ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic (Billings Clinic… 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 ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- UNC Health Care (Hendersonville, NC)
- …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge … more
- UNC Health Care (Hendersonville, NC)
- …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... **Description** Job Summary The Utilization Manager (UM) assesses new admissions,...in accordance with federal regulations and the health system's Utilization Review Plan. Responsibilities And Scope +… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/case- manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal communication ... primary therapists and discharge planners regarding transition to alternative levels of care . + Perform concurrent utilization review applying identified… more
- Tenet Healthcare (Detroit, MI)
- …appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, essential) ... RN Utilization Review Full Time Days -...coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced… more
- Elevance Health (Norfolk, VA)
- **Licensed Utilization Review II** **Location** : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health ... Monday through Friday,10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily...include: review of precertification request, level of care review for inpatient admissions or out… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility 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:** +...all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical… more