• Care Manager ( UM / UR

    Magellan Health Services (Boise, ID)
    …and implement solutions that directly influence quality of care . General Job Information Title Care Manager ( UM / UR ) - Remote, Idaho Licensed Grade 24 ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
    Magellan Health Services (10/22/24)
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  • Utilization Management Specialist NE

    Cleveland Clinic (Vero Beach, FL)
    Under the general supervision of the UM Team Manager , this individual performs UM activities which includes admission review, concurrent review, ... special projects which are coordinated and directed by the UM Team Manager . May design and initiate...of admission and continued stays. + Document appropriately in UM notes to provide evidence that the UR more
    Cleveland Clinic (10/31/24)
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  • Utilization Mgmt II - Transfer and Admissions…

    Sharp HealthCare (San Diego, CA)
    …management process.Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in system ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient Placement Center (CPPC) RN's… more
    Sharp HealthCare (09/28/24)
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  • Per Diem RN - Utilization Management - System…

    Sharp HealthCare (San Diego, CA)
    …management process. Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate. Participate in system ... **Shift End Time** Bachelor's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California… more
    Sharp HealthCare (11/02/24)
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  • RN Case Manager

    SSM Health (St. Louis, MO)
    …Managers colloborate with Social Workers for care coordination and discharge planning and exclude UM or UR . You can expect a patient ration of 1:22. The New ... eligible for a $25,000 Sign On Bonus! RN Case Manager opportunity to work with a colloborative team at...a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our… more
    SSM Health (09/20/24)
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  • Utilization Review Case Manager - Per Diem

    Covenant Health (Bangor, ME)
    …the patient and assists in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical necessity reviews in accordance ... to the position. Summary In direct delivery of patient care , and under the supervision of the VP of...Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of the… more
    Covenant Health (11/27/24)
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  • Physician Advisor - Director (Facility)

    Catholic Health Services (Melville, NY)
    …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more
    Catholic Health Services (11/14/24)
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