- SSM Health (St. Charles, MO)
- …team regarding opportunities for improvement in standard work. May also be responsible for: utilization management process, ED case management process, ... admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities,...(United States of America) Job Type: Employee Department: System Case Mgmt -STL Scheduled Weekly Hours: 0 Benefits: SSM… more
- Molina Healthcare (Sparks, NV)
- …active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
- Wisconsin Community Services (Milwaukee, WI)
- Job Summary Case management with intensive support, supervision and monitoring of released individuals from the Waukesha County Jail and others, as determined by ... Essential Duties and Responsibilities Responsible for a range of case management services, providing structure, accountability and...alcohol urine, saliva, and breath tests. Assist staff with utilization of the SCRAM CAM, SCRAM CAM with House… more
- Campbell County Health (Gillette, WY)
- …provides clinical assessment/problem identification, individual, family and group therapy and case management . Develops and monitors treatment plans, monitors ... County Memorial Hospital. Actively engages in departmental quality assurance and utilization management activities and processes to include monthly chart… more
- Campbell County Health (Gillette, WY)
- …identification, crisis interventions, individual, family and group therapy and case management . Develops and monitors treatment plans, monitors ... County Memorial Hospital. Actively engages in departmental quality assurance and utilization management activities and processes to include monthly chart… more
- Baystate Health (Springfield, MA)
- …Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management ** The **RN Hospital Case Manager ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...preferred + 3-5 years clinical Nursing experience + Hospital Case Management , Care Coordination experience strongly preferred… more
- Hartford HealthCare (Willimantic, CT)
- …**Nursing* **Organization:** **Windham Hospital* **Title:** *Registered Nurse Case Manager (RN) - Utilization Management * **Location:** ... of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,...years clinical nursing required. * Two years experience with case management , discharge planning, utilization … more
- Prime Healthcare (Sherman Oaks, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/ case - manager - utilization ... 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
- John Muir Health (Walnut Creek, CA)
- …patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, ... practice with specialized focus on care coordination, compliance, transition management , education, and utilization management ....American Heart AssociationRequired + ACM Accredited Case Manager - ACMA American Case Management… more
- Guthrie (Sayre, PA)
- …and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for..., utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- Trinity Health (Mishawaka, IN)
- …detail-oriented **RN** ** Case Manager ** to coordinate patient care, utilization management , and discharge planning. This role ensures quality outcomes, ... 3-5 years of clinical nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking,… more
- Arnot Health (Elmira, NY)
- …improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for utilization management ... to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Select Medical (Anderson, SC)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
- Select Medical (Wichita, KS)
- …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 (Phoenix, AZ)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current… more
- Select Medical (Alexandria, VA)
- …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 ** **$10,000 Sign On Bonus**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Cedars-Sinai (Los Angeles, CA)
- …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the ... Heart Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A...ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager -… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... functions ( Utilization Review, Social Work, Navigation, and Case Management ) including the execution of the...to seven years of leadership experience in care coordination, case management , or utilization review,… more
