- Providence (Tarzana, CA)
- …, Ambulatory, Post - Acute , etc.) 2 years Experience in Case Management (Care Coordination or Utilization Management ) or successful completion of ... include the achievement of optimal health, access to services, advocacy, appropriate utilization of resources, collaboration with post - acute care providers… more
- ScionHealth - Kindred Cornerstone & Solara Hospitals (San Antonio, TX)
- …of care and cost effectiveness through the integration of functions of case management , utilization review and management , and discharge planning. Essential ... patient care rounds and/or conferences to review treatment goals, optimize resource utilization , provide family education and identified post hospital needs.… more
- Kaiser Permanente (Atlanta, GA)
- …an acute care setting.Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred.Bachelors Degree in ... Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Atlanta, Georgia.Job Description & RequirementsSpecialty: Case… more
- Providence (Portland, OR)
- …patients through the continuum of care. Key services include screening for post - acute needs; transition planning; care coordination; education; community care ... and Full-Time Day shifts. RN Care Managers, in the acute care setting, provide a variety of services to...1 year Home health, mental health, substance use, hospice, utilization review, discharge planning or care management … more
- Trinity Health (Wilmington, DE)
- …or Physical Therapy or a related field** , and 5 or more years of post - acute utilization management and/or integrated care coordination experience. + ... a member of Trinity Health Mid-Atlantic is seeking a Post - Acute Network Liaison to join our Accountable...in oral, written and electronic communication. + Competency in utilization management and transition of care … more
- Intermountain Health (Las Vegas, NV)
- …other cost management programs. + Experienced with oversight in ER, inpatient, and post - acute utilization management , with surgery utilization ... with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management , care management , claims, network management , and… more
- Sutter Health (Berkeley, CA)
- …change. This position coordinates the utilization management , resource management , discharge planning, post - acute care referrals and care ... interview patient/family and determine preferences for post - acute care services. Utilization Management . * Completes initial InterQual review screening… more
- Sutter Health (San Francisco, CA)
- …oversees the Case Management Assistants to determine preferences for post - acute care services. Utilization Management . * Reviews medical record to ... communicates to patient/family prior to transition. * Assures necessary paperwork for post - acute transfers to comply with state and federal regulatory… more
- ChenMed (Chicago, IL)
- …Coordinates as needed with the transitional care team, hospital, skilled nursing facility, post - acute , utilization management , and home-based services ... PCP requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral /… more
- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- Centene Corporation (NE)
- …have experience in leadership roles, such as supervisor, lead, or charge nurse, in utilization management and post - acute care facilities, including ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
- Sutter Health (Sacramento, CA)
- …SHSO-Sutter Health System Office-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the ... knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but...CDPH and TJC. + A broad knowledge base of post - acute levels of care and associated regulatory… more
- CVS Health (New York, NY)
- …state of NY. 5 years of nursing experience. 1 year experience in Utilization Management . Reliable transportation required.Mileage is reimbursed per our company ... + Responsible for performing other duties as requested by Associate Director, Post - Acute Care and MSHP Leadership Population Health Transitional Care… more
- Access Dubuque (Dubuque, IA)
- …**Experience:** . At least 2 years of experience in/with acute care with case management or post - acute care experience. . 3+ years of experience in/with ... acute care with case management or post - acute care experience...20240818 Featured Job TH Ad TH Comments **Similar Jobs** Utilization Management Manager Medical Associates Manager Quality… more
- Ascension Health (Baltimore, MD)
- …Services at Ascension Saint Agnes Hospital is responsible for overseeing the integration and management of Post Acute Care, Palliative Care, and Transitional ... treatment planning and core measures, Discharge Planning, tracking of the post - acute period and provision of disease management , and contracting internally… more
- Sharp HealthCare (San Diego, CA)
- …the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures ... ensure appropriate patient status and assists with repatriation and post -stabilization reviews for patients before the patient is bedded,...Degree in a health related field. + 3 Years Utilization Management or case management … more
- Access Dubuque (Dubuque, IA)
- Utilization Management Manager **Medical Associates** 1 Positions ID: oCEwtfwZ Posted On 07/19/2024 **Job Overview** **Description** Medical Associates Health ... Plans is hiring a ** Utilization Management Manager** based out of the...Manager Express Employment Professionals Service Manager Bodensteiner Implement Co Post Acute Case Manager UnityPoint Health Finley… more
- University of Virginia (Charlottesville, VA)
- …process for inpatients, emergency department discharge planning processes, frequent utilization of the emergency services system, and identification of members ... or led to admissions, readmissions, preventable Emergency Department and non-emergent 911 utilization , as well as leaving AMA or without being seen in the… more
- Dignity Health (Northridge, CA)
- …400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing ... and collaboration with nursing physicians therapy services insurers and post acute service providers to pace the...+ Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Management Representative (UMR) provides office support for all units within the Utilization Management and/or ... direct communication with KSC Clinic Representatives as needed. The Utilization Management Representative is responsible for clerical...and entry of bed day data and pre and post - acute certification requests for specific services. Under… more
