- 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
- Arnot Health (Elmira, NY)
- …to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… 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
- Health First (Melbourne, FL)
- …vehicle. **Job:** ** Case Management* **Organization:** **Holmes Regional Medical Center* **Title:** * Utilization Review Nurse - Case Management UR Part ... *POSITION SUMMARY* The Utilization Review (UR) nurse performs medical...*Education:*BSN or Master's Degree in a healthcare field *Certification:*Current Case Manager Certification (CCM or ACM) *Work… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... collecting and recording all information and data needed for utilization review as requested and required by...necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case… more
- Prime Healthcare (Redding, CA)
- …#casemanager #rn Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166207/ case - manager utilization ... 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 (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165000/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...a related field. At least one year experience in case management, discharge planning or nursing management; + CCM… more
- Baptist Memorial (Memphis, TN)
- …program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt Administration ... with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred-RN with 7 years of clinical experience… more
- Geisinger (Danville, PA)
- …class (status) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements. ... Job Duties + Creates plan for care across the continuum, integrating patient and family preferences and values. + Monitors patient care through assessments, evaluations and patient records. + Advocates for resources and removal of barriers. + Maintains ongoing… more
- Catholic Health (Lockport, NY)
- …and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review / Transitions of Care, as an ... the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...review experience in the role of a Care Manager or Disease Manager , Population Health ,… more