- Trusted Resource Associates (TRA) (Palm Springs, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California.Job ... Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 09/25/2024Duration: 13 weeks40 hours per...security compared to with an outside agency. The RN Case Manager is responsible to facilitating care… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Pacer Staffing (Atlanta, GA)
- Shift - Standard | Mon to Fri Location - Remote ( Case Manager - serious diagnoses. Children/Pediatric with down syndrome, serious disabilities, physical ... complex case management services from a non-ECHO case manager . Maintains knowledge of and compliance...and build group engagement. Technical Skills: Thorough knowledge of Case Management, Utilization Management, TRICARE policies and… more
- Neil & Laura Clark Women & Children's Center (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the BVMP Behavioral Health Therapist/ Case Manager is to provide a range of psychological assessment, diagnostic, ... therapeutic, and/or case management services for individuals, couples, groups, and/or families,...in various committees and meetings to contribute information regarding utilization of services and quality of healthcare for the… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management, Utilization Management, HIPAA Privacy and Security regulations. ... NCL state . Minimum of three years clinical experience . Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty… more
- ICONMA (Kentfield, CA)
- Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience EPIC ... experience Active CA RN License Certifications/Requirements: BLS/BCLS Must have strong Utilization Review and InterQual experience required! Minimum Years of… more
- ICONMA (Kentfield, CA)
- Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience EPIC ... EMR documentation experience Active CA RN License Shift Information: Day shift (0800-1630), Monday thru Friday Minimum Years of Experience: 2 Certifications/Requirements: BLS/BCLS more
- Protouch Staffing - Permanent (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review , compliance with requirements of external review agencies ... 8 hours, daysEmployment Type: StaffPerks: Benefits: All Standards benefits are covered. Manager of Case Management RN - El Paso, TX Job Type: Full Time Shift:… more
- Equiliem (Orange, CA)
- …position such as those listed above may also be qualifying.Preferred Prior authorization/ utilization review experience. Managed care experience. Post degree ABA ... motivated and experienced Care Manager , with Behavioral Health experience. The Care Manager is responsible for the oversight and review of Behavioral Health… more
- Blanchard Valley Health System (Findlay, OH)
- …to the Acute Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation ... of appropriate services during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration with ambulatory care… more
- Accounting Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervisionPrevious experience in case management/ utilization management with a broad range of experience with ... and outpatient professional treatment health benefits through telephonic or written review Will use appropriate screening criteria knowledge and clinical judgment to… more
- Staffing Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with ... and outpatient professional treatment health benefits through telephonic or written review . Will use appropriate screening criteria knowledge and clinical judgment… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …to ensure appropriate feedback is received before product decisions are made. Utilization Review of necessity, quality, effectiveness and efficiency of medical ... of system-wide opportunities as they relate to Value Analysis standardization, utilization and implementation. Facilitate Value Analysis Teams (VAT) to most… more
- Merck & Co. (North Wales, PA)
- …key priorities for our Company is a significant focus-on Data and its utilization as a Strategic asset to drive insights-driven decisions. The opportunity to ... Services team's mission is to focus on driving these capabilities to increase utilization of data within the organization.How will you invent the future?-We have an… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …the health of our communities. About the Role:Job SummaryUnder the supervision of the Utilization Review Manager , this position is responsible for ensuring ... of the pre-certification process.Works in conjunction with Physician offices, Case Management, Utilization Review , and patients to obtain supporting clinical… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be ... follows the UR process as defined in the Utilization Review Plan in accordance with the...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- University of Miami (Miami, FL)
- …UHealth System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Avera (Yankton, SD)
- …the efficient and effective operations of case management and utilization review . The Case Manager is responsible for timely discharge planning, ... opportunities for career growth. **Avera is looking for a RN - Case Manager to join our Team!** **_Position Highlights:_** + **Work collaboratively with other… more
- The Mount Sinai Health System (New York, NY)
- …but are not limited to: + Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed ... **JOB DESCRIPTION** **RN/ Case Manager MSH Case ...in homecare, long term care or utilization review preferred. + Discharge Planner or Case ... review preferred. + Discharge Planner or Case Manager preferred. + Manager … more
