- University Health (Hondo, TX)
- …nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. ... any qualifications that applicants are expected to have. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the… more
- University Health (Pleasanton, TX)
- …nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. ... details pertaining to this job in the description below. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the… more
- Stanford Health Care (Palo Alto, CA)
- …work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review ...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring...RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** +… more
- Interim HealthCare (Greenwood, IN)
- …as a Registered Nurse (RN) in home health or similar setting; previous case management/ utilization review experience preferred. OASIS experience preferred. ... your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive… more
- Christus Health (San Antonio, TX)
- …resource management for patient care delivery (Conditions of Participation COP 482.30). Case Managers enhance the continuity of care and cost effectiveness by ... integrating the functions of case management, resource management, clinical documentation management, and discharge planning (Conditions of Participation COP… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- Luke Staffing (Agana Heights, GU)
- …Government and professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** ....of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation… more
- ERP International (Luke AFB, AZ)
- … Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... utilization of resources. Monitors and evaluates the facility's case management program per DoD, AF and local policies...as a Registered Nurse, any state. Clinical Certification:** Certified Case Manager by Commission for Case… more
- University Health (Pleasanton, TX)
- …preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance ... as a registered nurse is required. National certification in related field is preferred. xrbllit Case Manager Certification (CCM or ANCC) is highly desirable. more
- University Health (Seguin, TX)
- …preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance ... a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse… more
- Commonwealth Care Alliance (Boston, MA)
- …support consistency and quality across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance coordination and care ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Stanford Health Care (Menlo Park, CA)
- …which includes strategic planning, financial performance management, resource utilization , contract administration, operational metrics, lease administration, and ... description below and apply online. **A Brief Overview** The Senior Project Manager is responsible for managing the programming, planning and activation of complex… more
- Home Depot (Richmond, VA)
- **Position Purpose:** The District Asset Protection Manager (DAPM) is responsible for teaching, coaching, and training associates to ensure the effective execution ... be able to multi-task across stores and gain the partnership of the District Manager , Store Manager , Store Leadership Team, APS and other store associates to… more
- Luminis Health (Annapolis, MD)
- …Capture Coordinator, the Clinical Nursing Director, the Surgical Services Business Manager , Central Sterile Services leadership to coordinate the availability of ... supplies, instruments, and equipment; ensure appropriate utilization of these resources; and (to the extent possible) standardize use of instrument trays, supplies,… more
- Katmai (Fort Carson, CO)
- …and providers, network/outside providers and ancillary healthcare workers. + Apply principles of utilization review (UR) and utilization management (UM) in ... + Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management. + Plan and… more
- Katmai (Fort Carson, CO)
- …+ Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management. + Plan and ... prioritize utilization review (UR) activities to ensure identified patient needs are addressed promptly. + Effectively utilize information systems to develop,… more
- Hawaiian Electric (Honolulu, HI)
- …portfolio managers in all aspects of documenting project ideas, developing business case analyses for those ideas, prioritizing project ideas for approval, and ... and Project Management tools; (3) assisting with facilitation of the Project Review Committee (PRC) and communication of information (status, progress, health) about… more
