- 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 ... the position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case Management Position Type… more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... 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 Worker. *About our… 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
- VHC Health (Arlington, VA)
- Case Manager / Utilization Review Registered Nurse Job Description Purpose & Scope: The Case Manager is responsible for the collaborative process of ... and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have… more
- Actalent (Oklahoma City, OK)
- Hiring for Case Manager - Utilization Review Job Description Care Managers perform integrated case management (CM) and disease management (UM) activities ... practice guidelines, community resources, contracting and community care standards to each case . Responsibilities: * Determine, develop, and implement a plan of care… more
- Mayo Clinic (Jacksonville, FL)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
- Trinity Health (Fresno, CA)
- …from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training ... the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care… more
- BronxCare Health System (Bronx, NY)
- …- Identify and report problematic cases with extended LOS providing updated information to Utilization Case Manager and /or Director for further action. ... Overview The Case Manager will coordinate care using...case management plan to assure appropriate and timely utilization of hospital, community based and other resources for… more
- Sharp HealthCare (San Diego, CA)
- …strongly preferred.** + Experience and understanding of federal and state regulations governing utilization management. + Accredited Case Manager (ACM) - ... Nurse (RN) - CA Board of Registered 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)
- …System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The incumbent conducts ... 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
- HCA Healthcare (Nashville, TN)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The Case Manager will identify potential barriers to ... RN opening and continue to learn! **Job Summary and Qualifications** POSITION SUMMARY: The Case Manager will facilitate the interdisciplinary plan of care with a… 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
- 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
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175183/ 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 (Delran, NJ)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... specialized services for infants, children, adolescents, Military Service Members and Veterans. ** Case Coordinator - Delran Day Program - No weekends!** **DSP or… more
- Sevita (Lawrence, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... to provide individual assistance to each person we serve. **Program Services Case Coordinator- Adult Day Health** Location: Oasis Adult Day Health Center Address:… more
- Sevita (Malden, MA)
- …receipt from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program ... requirement** **$20/hr** **in center not a hybrid or remote position** **Program Services Case Coordinator** Do you enjoy working in a medical/rehab setting and have… more
- Providence (Kodiak, AK)
- …Providence philosophy, objectives, policies, procedures and standards. The Case Manager /RN Navigator partners with the Utilization Review nurse, patients, ... **Description** The Case Manager /RN Navigator is responsible for...needs for discharge planning, admission to swing bed and case management including utilization review in accordance… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: + Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more