- Trusted Resource Associates (TRA) (Modesto, CA)
- …greater level of Contract security compared to with an outside agency. The RN Case Manager is responsible to facilitating care along a continuum through ... Associates (TRA) is seeking a local contract nurse RN Case Management for a local contract nursing job in...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources. This… more
- Almost Family (Fond Du Lac, WI)
- The Clinical Manager is responsible for the coordination of high quality, cost-effective patient care. This position is responsible for the operations and ... and appropriateness for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency Director regarding… more
- Central Missouri Home Health (Jefferson City, MO)
- We are hiring for a full-time Home Health Patient Care Manager RN to join our passionate team in Jefferson City, MO! This is an office position. At Capital Region ... a new level of caring. Apply today! The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services.… more
- Advocate Aurora Health (Adell, WI)
- …Health Job ID #R106418. Posted job title: Home Health Physical Therapy Case Manager - Sheboygan AreaAbout Advocate Aurora HealthAdvocate Aurora Health's 22,000 ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… 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 case ... 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
- Actalent (Oklahoma City, OK)
- Job Title: Case Manager - Utilization ReviewJob Description As a Case Manager in Utilization Review, you will perform integrated case ... guidelines, community resources, contracting and community care standards to each case . Responsibilities include complex case handling, promoting the delivery… 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 third party payers. Monitors and audits medical record… more
- Geisinger (Danville, PA)
- …(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 dialog… 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 ... effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review...Case Manager experience as well as Utilization Review experience (review medical necessity and discharge planning)… more
- Sharp HealthCare (San Diego, CA)
- …Guidelines (MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American ... End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case...Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Prime Healthcare (Blue Springs, MO)
- …Case Manager strives to improve patient outcomes while optimizing resource utilization . The Case Manager will conduct comprehensive assessments of ... protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Nurse Case Manager in an acute care setting… more
- Prime Healthcare (Redding, CA)
- …#casemanager #rn Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166207/ case - manager utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165937/ case - manager utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At least… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/*rn- case - manager utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165000/ 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 6… 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
- HCA Healthcare (Fort Walton Beach, FL)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers ... environment where diversity and inclusion thrive? Submit your application for our Case Manager RN PRN opening with HCA Florida Fort Walton-Destin Hospital today… more
- HCA Healthcare (Fort Walton Beach, FL)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers ... purpose and integrity. We care like family! Jump-start your career as a Case Manager RN PRN today with HCA Florida Fort Walton-Destin Hospital. **Benefits** HCA… more
- Crossroads Hospice & Palliative Care (King Of Prussia, PA)
- … case management principles to ensure continuity of care and appropriate resource utilization Registered Nurse Case Manager Benefits & Schedule: + Monday ... One of the most important aspects of being a Registered Nurse Case Manager is building trusting relationships with patients and their families. This trust… more
