- 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
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173003/* case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Trinity Health (Fresno, CA)
- …to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care ... continuum. This includes discharge planning, utilization management, care coordination collaboration, and...accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is 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
- Henry Ford Health System (Detroit, MI)
- …equipment. + Innovative Team Structure:Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to ... and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager ! Who We're Looking For: Passionate, compassionate, and dedicated individuals who… more
- University of Miami (Miami, FL)
- …and the Department Sylvester Business Operations have an exciting opportunity for a Full Time Utilization Review Case Manager to work at Sylvester ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. **Responsibilities** The **RN Case Manager ** bears overall responsibility for coordinating patient care activities ... department. Shift and weekend rotation as needed. The RN Case Manager is accountable for a designated...PC skills. + Current working knowledge of discharge planning, utilization management, case management, performance improvement, and… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all ... Palmer, Sylvester and UHealth Tower. This position analyzes and distributes daily Case Manager assignments, coordination of monthly schedules, daily report… 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
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives.** The inpatient Case Manager assigned by nursing unit coordinates utilization review , discharge ... **Essential Duties & Responsibilities including but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170050/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...related field or at least one year experience in case management, discharge planning or nursing management; + CCM… more
- Stanford Health Care (Palo Alto, CA)
- …and performs duties associated with Prior Authorization. + Reviews and reports out on Utilization Review (UR) trending. + Ensures quality of services through UR, ... leading process redesign work necessary to implement improvements. + Directs the utilization management, concurrent review , prior authorizations medical claims … more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Utilization Review Manager for...in the area of nursing practice assigned; in this case , acute care utilization review . ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with...review for medical and pharmacy claims. + Prepares case reports, summaries, or other related documents required to… more
- Trinity Health (Silver Spring, MD)
- …activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies ... Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment...in an acute healthcare setting. + Designation Changes and Utilization Review + Knowledge of pertinent regulatory,… more
- Elevance Health (Topeka, KS)
- **Anticipated End Date:** 2024-09-16 **Position Title:** Manager of Utilization Review **Job Description:** ** Manager of Utilization Review - ... Elevance Health location (Olathe, Kansas City, or Topeka). The ** Manager of Utilization Review ** is...an impact:** + Manages and oversees team responsible in case finding and coordinating cases that involve comorbid conditions.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review ** , responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including: + Staff schedules...At least 3 years of healthcare experience required. + Case Management certification (CCM or ACM) preferred. + Leadership… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager , you will play a key role in processing and ... vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the next… more