- Lourdes Health (Pasco, WA)
- …more year's clinical experience preferred. Acute care or community social agency case management experience preferred. Utilization Review experience, ... case management strategies pursuant to the Case Management Plan Utilization Review:...processes as time and needs require Determines with Risk Management staffs and/or Medical Staff Offices' Manager … more
- UT Health Tyler (Tyler, TX)
- …one another with respect. Responsibilities The Manager of Case Management has overall responsibility for hospital utilization management , transition ... Overview Join our team as a full-time Manager of Case Management ...operational management of the Case Management Department to promote effective utilization of… more
- Lourdes Health (Pasco, WA)
- …intake, provision of case management services, outcomes evaluation and case closure, daily utilization management activities, and psychosocial and ... The three main goals of case management are quality care, access...care, access to healthcare services, and cost efficiency. The case manager is responsible for case… more
- Canyon Vista Medical Center (Sierra Vista, AZ)
- …for qualified applicants And much more Position Summary: Provides hospital case management services, including but not limited to utilization management ... Must have an active AZ or Compact RN License. 1 year of experience in Case Management / Utilization Management preferred. 5 years of experience in an Acute… more
- Wilson Medical Center (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. Essential Functions 1. Case Manager independently performs initial and ongoing discharge… more
- UNC Health (Chapel Hill, NC)
- …effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be highly ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …with extensive knowledge of HMO and IPA operations with an emphasis on Utilization / Case Management and program development. Commercial managed care ... for the coordination, implementation, and oversight of the IEHP's overall Utilization Management Out-Patient Operations departmental clinical and operational… more
- Prime Healthcare (Anaheim, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related… more
- Prime Healthcare (Montclair, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of the Case Management … more
- Prime Healthcare (Chino, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162220/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is… 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 ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case … 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
- Mayo Clinic (Jacksonville, FL)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Mayo Clinic (Phoenix, AZ)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- Cedars-Sinai (Los Angeles, CA)
- …**Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager ...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- The Mount Sinai Health System (New York, NY)
- The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED patients and ... management and the transition of care. The Case Manager actively participates in specific clinical...of stay (LOS), improved efficiency and quality and resource utilization . Assignment will be by units/clinical areas of practice… more
