- Molina Healthcare (Long Beach, CA)
- …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and ... expected length of stay for requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its… more
- Brockton Hospital (Brockton, MA)
- …delivery of services. Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as ... of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. more
- Ellis Medicine (Schenectady, NY)
- … Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning… more
- Henry Ford Health System (Detroit, MI)
- Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** The Case Manager (CM) will be responsible...Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will… more
- Actalent (Dunwoody, GA)
- …inpatient ,Hospital,Medical Center,RN,RN license Additional Skills & Qualifications The successful Inpatient Case Manager will have excellent interpersonal ... physician orders, care paths, etc. for patient care. Skills case management, inpatient , Hospital, Medical Center, RN,...state of Georgia, a minimum of two years of case management experience, and experience in utilization review… more
- Highmark Health (Pittsburgh, PA)
- …:** Reposted: 20241122 Date Posted: 20240228 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Part Time Shift: 48 hours every ... Daylight M-F, 24 hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
- Sharp HealthCare (San Diego, CA)
- …use by themselves, Medical Directors, the Hospitalist Physician and/or Case Manager .Identifies and refer requests for review by higher level staff (Medical ... of Sharp and/or Hospital applications to retrieve patient medical records for review by Case Managers.Verifies and documents eligibility and benefit… more
- 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 ... 8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse (RN) Case Manager...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review … more
- Community Health Network (Indianapolis, IN)
- …coordination, and discharge planning of inpatient and observation services. The RN Case Manager /Utilization Review RN also assists the social workers in ... Registered Nurse (RN) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case … more
- Banner Health (AZ)
- …- you belong at Banner Health. Looking for a motivated, experienced **Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical Coder** to join ... HIMS Coding Team. Ideally a minimum **5 years of inpatient coding experience in Acute Care inpatient ...specific patient types and specialties in combination with the Case Mix Index and case financial information… more
- University of Miami (Miami, FL)
- …of Miami, Bascom Palmer Eye Institute, has an exciting opportunity for a full time Manager , Nursing for the Ambulatory Surgery & Inpatient Unit. The Manager , ... of care and policies and procedures by direct observation, nursing documentation review accuracy and communicates results to appropriate staff members. + Promotes… more
- CVS Health (Lansing, MI)
- …care more personal, convenient and affordable. **Position Summary:** The Associate Manager is responsible for oversight of Utilization Management/ Case Management ... Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as program design/product, Medical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …coded/abstracted information for DRG assignment into the HMH designated computer system. + Review Case Management notes and assign discharge disposition based on ... healthcare and serve as a leader of positive change. The ** Inpatient Coder** assigns the principal diagnosis, comorbidities, complications and chronic conditions… more
- AdventHealth (Altamonte Springs, FL)
- …The Divisional Inpatient Coding Supervisor, under general supervision of the Division Inpatient Coding Manager , is responsible for the daily operation of the ... review by other departments/individuals (Patient Financial Services (CBO), Case Management, Revenue Integrity). 8.Uses critical thinking and sound judgement in… more
- Covenant Health (Bangor, ME)
- …of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of ... the healthcare team. The nurse case manager also acts as an advocate...that are housed on a nursing unit, to include inpatient admissions, patients receiving observation services and outpatients in… more
- Atlantic Health System (Summit, NJ)
- …team to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor ... patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities and… more
- Kennedy Krieger Institute (Baltimore, MD)
- …strategies for solving problems. Generate solutions independently and in conjunction with case manager . 8. Public presentation - Alter presentation according to ... plans and contribute during daily supervision sessions to overall development of the case . 2. Case Management - conduct sessions, coordination of admission… more
- Meriter-UnityPoint Health (Madison, WI)
- …of the Nurse Manager . + This position also oversees and supports the RN Case Manager for the unit. + The Clinical Program Supervisor also utilizes advanced ... providing these services. + The Clinical Program Supervisor assists the Nurse Manager in maintaining regulatory compliance through policy review , revision, and… more
- WellSpan Health (Mount Gretna, PA)
- …+ Coordinate with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis providing evidenced-based revisions as ... Care Nurse Coordinator RN - Extended Acute Adult Psychiatric Inpatient - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: PRN/Per Diem PRN as needed 7… more