- Elliot Health System (Litchfield, NH)
- Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes great ... the requirements below! Apply today! About the Job: The Case Manager RN will collaborate with other...members of the health care team to identify appropriate utilization of resources and a safe and effective transition… more
- Elliot Health System (Candia, NH)
- …an impact on quality of patient care and/or length of stay. Collaborates with case manager to assess for patient's clinical course to verify patient's continued ... concerns which may impact discharge planning and optimal patient care. Supports the Case Manager in the development of a comprehensive discharge plan for… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- University of Miami (North Miami, FL)
- …University of Miami UHealth - CTU at SoLe Mia has an exciting opportunity for a Utilization Case Manager . CORE JOB FUNCTIONS + Adhere and perform timely ... reviews for services requiring an authorization for continuation of care + Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and limitations to determine… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... 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
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** As a Case Manager in Utilization Management, you will be the key ... care plans to align with clinical and regulatory standards. By optimizing resource utilization and maintaining the highest standards of care, you will contribute to… more
- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is… more
- University of Miami (Miami, FL)
- …The University of Miami Health System has an exciting opportunity for a per diem Utilization Case Manager to work at Sylvester Support Services Building. The ... clinical utilization and identifying the need for continued authorization. The Utilization Case Manager coordinates with the Nurse Case Manager… more
- Pacific Medical Centers (Renton, WA)
- …order to assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the ... **Preferred Qualifications:** + Bachelor's Degree in Nursing + Upon hire: Certified Case Manager **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199249/ case - manager utilization ... 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 months… 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
- Sharp HealthCare (San Diego, CA)
- …**Essential Functions** + Collaboration and teamwork Provides consultation and direction for Case Manager Utilization Management, and non-clinical support ... End Time** Bachelor's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for ...area of specialty. + 2 Years clinical experience in Utilization Review, Discharge Planning and/or Case Management… more
- LifePoint Health (Danville, VA)
- …patient ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social ... *Registered Nurse, RN - Case Manager * Job Type: Full Time...American Heart Association Basic Life Support . Experience in Utilization Review preferred . Requires flexibility in scheduling and… more
- Avera (Sioux Falls, SD)
- …transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation ... and Avera Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity, including both the level of care… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c-rn 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
- Sevita (Marlborough, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... trained to provide individual assistance to each person we serve. **Program Services Case Coordinator- Bilingual in Mandarin preferred.** Do you enjoy working in a… more
- University of Utah Health (Salt Lake City, UT)
- …with an increased LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on ... conditions; designates charges related to specific condition. + Participates in organization Utilization Review Committee, weekly Medicare IPPS Case Reviews &… more
- Molina Healthcare (Columbus, OH)
- …(RN) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and… more
