- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- Corewell Health (Grosse Pointe, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Penn Medicine (Philadelphia, PA)
- …and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, and physician advisor. Discharge ... quality data collection and risk management referral. + Responsibilities: Utilization management activities: monitor appropriate use of internal resources,… more
- Baptist Memorial (Memphis, TN)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed ... by utilization review standards. The UR Nurse works...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information Completes… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist ... rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation...encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified… more
- HCA Healthcare (Anchorage, AK)
- …(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. HCA Healthcare's Alaska ... rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation...we encourage you to apply for our Case Manager PRN opening. We review all applications. Qualified… more
- HCA Healthcare (Salt Lake City, UT)
- …and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more
- HCA Healthcare (Fredericksburg, VA)
- …and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager...rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation… more
- HCA Healthcare (Miami, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred + Foreign Medical ... rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation...encourage you to apply for our Case Mgr RN PRN opening. We promptly review all applications.… more
- HCA Healthcare (Port St. Lucie, FL)
- …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred **SCHEDULE** + Per Diem ... rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation...encourage you to apply for our RN Case Manager PRN opening. We promptly review all applications.… more
- HCA Healthcare (West Palm Beach, FL)
- …management experience within hospital setting + Certification in case management or utilization review preferred + Knowledge of InterQual criteria, Medicare, ... volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital you can...rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation… more
- Community Health Systems (Fort Wayne, IN)
- Under the direction of the Division Director, Case Management, serves as a coordinator of an interdisciplinary approach to guide patients through the continuum of ... special focus on the clinical components of care/medical management, utilization /resource management and insurance issues. Collaborates with the physicians,… more
- Houston Methodist (The Woodlands, TX)
- …for an expanded clinical role that may include responsibility for proactive review of patient profiles, participation in basic clinical functions such as discharge ... areas of the department to include processing orders, therapy review , and education to patients and other members of...confidence in skills, knowledge and abilities. Serves as a coordinator for the shift overseeing and leading activities of… more
- Houston Methodist (Houston, TX)
- …in any or all areas of the department which includes processing orders, therapy review , and education to patients and other members of the direct patient care team. ... absence of Senior Staff Pharmacists or other higher level, serves as a coordinator for the shift overseeing and leading activities of technicians and other support… more
- Bon Secours Mercy Health (Lima, OH)
- …Team (IDT) along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient's individual needs are identified and addressed ... Management. Develop and implement care plans to maximize wellbeing with periodic review and update according to department protocols. Collaborate with ACM, PCPs,… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Extended Acute Adult Psychiatric Inpatient - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: PRN /Per Diem PRN as ... with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis...patient outcomes. Assists with the collection and analysis of utilization patterns including avoidable days and denied cases; shares… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Certified MDS Coordinator , Transitional Care PRN /OCC, Variable Hours & Shifts The Transitional Care Unit (9 North / TCU) is a short-term care facility ... in a manner that accurately captures the RUG (Resource Utilization Group) category. + Will provide a schedule of...as needed based on timeliness of completion. The MDS Coordinator is expected to report any issues with timely… more
- HCA Healthcare (Falls Church, VA)
- …your knowledge and expertise! **Job Summary and Qualifications** The Licensed Coordinator is responsible for oversight and management to selected processes within ... and supportive education for staff. + Maintains knowledge of Utilization Management functions and performs monitoring and support as...patient needs and groups as needed for inpatient and PRN social work staff. + Coordinates and supervises the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN /OCC, Variable Hours & Shifts Fort Sanders Regional Medical Center is an award-winning, certified, and ... part of the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level If you have any… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care PRN /OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of ... the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level Recruiter: Jennifer… more
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