• Case Manager - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/186068/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (12/11/24)
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  • Case Manager RN - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/187724/ case - manager -rn utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (12/24/24)
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  • RN Acute Case Manager - Case

    Guthrie (Cortland, NY)
    …discharge, based on assessed needs and available resources. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... Position Summary: This is an integrated Case Management and Utilization ...and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for… more
    Guthrie (11/13/24)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, ... per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case Managers and… more
    Ellis Medicine (11/28/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (10/17/24)
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  • Appeals Manager , Department…

    BronxCare Health System (Bronx, NY)
    …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
    BronxCare Health System (12/18/24)
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  • PRN Clin Resource Coordinator at HUP

    Penn Medicine (Philadelphia, PA)
    …critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, ... fearful you will miss patient contact?If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (11/06/24)
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  • Utilization Manager II - UM System…

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Manager Certification; Accredited Case Manager (ACM) - American Case Management...Do** As a member of the System Integrated Care Management (ICM) team the Utilization Manager more
    Sharp HealthCare (12/15/24)
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  • UMII Transfer and Admission - Utilization

    Sharp HealthCare (San Diego, CA)
    …+ Experience and understanding of federal and state regulations governing utilization management . + Accredited Case Manager (ACM) - American Case ... CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (12/06/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. *Essential Functions* 1. Case Manager independently performs initial and ongoing discharge… more
    LifePoint Health (11/10/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** *RN- Case Management * **Location:** *NC-Wilson* **Requisition ID:** *7462-9023* more
    LifePoint Health (12/19/24)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Evansville, IN)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (12/21/24)
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  • RN Manager -System Care Management

    Guthrie (Sayre, PA)
    …outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , discharge planning, ... day operational leadership, oversight, and support to the Acute Case Managers, nurse utilization management ...care coordination scope of practice within the department. The Manager - Case Management collaborates cooperatively with… more
    Guthrie (11/13/24)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Warrensville Heights, OH)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (12/25/24)
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  • Director - Care Coordination

    Dartmouth Health (Lebanon, NH)
    …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... to seven years of leadership experience in care coordination, case management , or utilization review,...Case Manager , Certified Case Manager , or Case Management Administrator… more
    Dartmouth Health (12/10/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …not just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (12/10/24)
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  • RN Case Manager

    Trinity Health (Hartford, CT)
    …Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager ; Registered Nurse; RN; BSN; Connecticut; utilization management ** **Our ... $10,000 sign-on bonus.** **Position Purpose** At **Saint Francis Hospital** our **RN Case Manager ** are responsible for coordinating patient care, assessing… more
    Trinity Health (10/05/24)
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  • Registered Nurse (RN) Case Manager

    Community Health Network (Indianapolis, IN)
    Registered Nurse (RN) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case ... **Make a Difference** Community North has a part-time RN Case Manager / Utilization Review position available...and cost effectiveness through the integrating and functions of case management , utilization review and… more
    Community Health Network (12/12/24)
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  • Utilization Review RN Case

    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 ... . Professional development and growth opportunities *Department/Unit Summary* Our Case Management Department primarily serves the adult...offering safe discharge planning is the use of a Utilization RN and Case Manager more
    LifePoint Health (12/09/24)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case Management Position Type Full-Time Work Arrangement Onsite ID 2024-4518 more
    Helio Health Inc. (12/04/24)
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