- Merck & Co. (Durham, NC)
- …the team finishes the design and construction of the facility, the Operations Manager will play a critical role in supporting the Global Engineering Services team, ... culture by reducing waste and constantly driving continuous improvement-- Review and approve compliance documents, as per procedures or need.Supply/Support… more
- Kaiser Permanente (Fontana, CA)
- …Mary's Medical Center in Victorville.Kaiser Permanente Job ID #1284807. Posted job title: Case Manager Utilization Rn- Per Diem Day, Onsite VictorvilleAbout ... quality, risk and/or patient safety which are identified during case review or other activities.Reviews, analyses and identifies utilization patterns and… 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 ... members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients… more
- UT Health Tyler (Tyler, TX)
- …a sign on bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People ... and coordinates a comprehensive plan of care using a concurrent integrated review , standard operating procedures, case management tools, and collaborative… more
- MetroPlus (New York, NY)
- …and appropriate services and other resources to assist in goal achievement. Conduct Utilization Review for designated Case Management members for some ... or in a Psychiatric Hospital Inpatient and/or Outpatient experience with both case and utilization management. One-year HARP experience preferred. Field based… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …their support systems in managing medical conditions more effectively. The RN Lead Care Manager will provide telephonic care and case management to members as ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and their support systems in managing medical conditions more effectively. The RN Care Manager will provide telephonic care and case management to members as ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
- Hired by Matrix (Los Angeles, CA)
- …all times. Attend and participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... procedures. Develops treatment plans, supervises assistants and aides, contributes to case management, and provides quality patient care. Maintains positive level of… more
- Northeast Georgia Health System, Inc (Braselton, 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
- Actalent (Oklahoma City, OK)
- … Case Manager - Utilization ReviewJob Description As a Case Manager in Utilization Review , you will perform integrated case management and ... This is a fully on-site position in Oklahoma City, Oklahoma City. Work Environment Utilization Review About Actalent Actalent is a global leader in engineering… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… 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
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165937/ case - manager 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. + Five years acute… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/*rn- case - manager 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
- Actalent (Oklahoma City, OK)
- Actalent Healthcare is hiring RN Case Managers for clinic opportunities in Oklahoma City! Interested in working at one of the top hospitals in the nation with ... excellent opportunity for growth and advancement? See below! Job Description: + Job Duties: + Asses clients' needs and develop individualized care plans. + Coordinate and monitor services to ensure clients receive appropriate care. + Setting: + Office Setting… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Trinity Health (Fresno, CA)
- …the time patients access the hospital in the emergency room. The case manager is responsible for utilization review , collaboration with physicians to ... time **Shift:** Rotating Shift **Description:** Reporting to the Lead Case Manager Emergency, Case Management,...in an acute care medical center is required. 3. Utilization review , discharge planning or case… 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
- Hackensack Meridian Health (Hackensack, NJ)
- … management processes. + Develops the performance enhancement plan of the case manager , documents performance provides performance feedback, evaluates the work ... transfer from acute to post acute care. + Develops the performance improvement plan for the case manager , based on audits of the particular case manager .… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
