- CHRISTUS Health (Wake Village, TX)
- … utilization . * Educates hospital and ED providers on levels of care , resource utilization , payor practices, and documentation. Escalates to Physician Advisor ... Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of patient… more
- 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
- Magellan Health Services (Boise, ID)
- …that directly influence quality of care . General Job Information Title Care Manager (SUD utilization review preferred) - REMOTE USA Grade 24 Work ... live in Idaho. Also interested in candidates with SUD utilization review experience. Under general supervision, and...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… 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 ... This position is eligible for a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs… 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 (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
- UNC Health Care (Smithfield, 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
- 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
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under the supervision and in ... Managers. Manages the activities of hospital staff in inpatient care coordination and utilization review ....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 ... to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as...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 ... services and Outpatients in a Bed. Identifies delays in care . Documents and communicates findings with the care...+ Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge… more
- Prime Healthcare (Reno, NV)
- …Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Utilization Review ... Saint Mary's Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient...Certified Case Manager credential. 1+ year of utilization review experience is highly preferred. 7.… 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
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management, and… 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 ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …cost containment, peer review and rehabilitation; + May notify acute care hospitals of scheduled utilization review including conducting second ... with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at ### or (###@ct.gov) Due to the large...statutes and regulations; + regulations and standards pertaining to utilization review ; + care 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 ... **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
- 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
- Providence (Anchorage, AK)
- …for Case Managers upon hire + 2 years of Case Management experience including utilization review , care management, care coordination, discharge planning, ... Care Management Services under the direction of the Manager Care Management Services. This work includes...and directly supervising the activities of the case management, utilization review , social services and navigation teams… more
