- LifePoint Health (Gallatin, TN)
- …healthcare field. **Job:** ** Case Management/Social Services* **Organization:** ** **Title:** *RN- Utilization Review Case Manager * **Location:** ... Monitors adherence to the hospital's utilization review plan to ensure appropriate...admissions and extended hospitals stays. Reports to: Director - Case Management *Minimum Education* Associate's, Bachelor's degree or RN… 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 ... 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
- Trinity Health (Fresno, CA)
- …Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial services ... responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be ... follows the UR process as defined in the Utilization Review Plan in accordance with the...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Avera (Yankton, SD)
- …the efficient and effective operations of case management and utilization review . The Case Manager is responsible for timely discharge planning, ... opportunities for career growth. **Avera is looking for a RN - Case Manager to join our Team!** **_Position Highlights:_** + **Work collaboratively with other… more
- CVS Health (Charleston, WV)
- …+ Foster care experience + Crisis intervention skills + Managed care/ utilization review experience + Certified Case Manager (CCM) certification + ... of service and with demonstrated performance and attendance. The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- CVS Health (Charleston, WV)
- …+ Foster care experience + Crisis intervention skills + Managed care/ utilization review experience + Certified Case Manager (CCM) certification + ... growth. We will support you all the way! The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166682/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165937/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- The Mount Sinai Health System (New York, NY)
- …but are not limited to: + Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed ... **JOB DESCRIPTION** **RN/ Case Manager MSH Case ...in homecare, long term care or utilization review preferred. + Discharge Planner or Case ... review preferred. + Discharge Planner or Case Manager preferred. + Manager … more
- The Mount Sinai Health System (New York, NY)
- …are not limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed ... experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum… more
- The Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years' experience ... **JOB DESCRIPTION** The Case Manager (CM) will be responsible...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case… more
- Henry Ford Health System (Wyandotte, MI)
- …therapy experience, safety planning, psychiatric assessment, COPE and DWIHN knowledge, utilization review . GENERAL SUMMARY: The Case Manager is a member ... meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes.… more
- Providence (Medford, OR)
- …based on population focus. Duties also include complex discharge planning and utilization review . The Nurse Case Manager must be competent to analyze ... at Providence Medford Medical Center, in Medford, OR.** **Full-Time/Day Shift** The RN Case Manager is an expert professional registered nurse who is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- …current and unrestricted California License Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Certified Professional ... Manager , Delegation Oversight Clinical Audit Job Category: Clinical...Prepares reports for the Delegation Oversight Committees, Quality Committees, Utilization Management Committees, Sanctions Committees, Internal Compliance Committees, etc.… more
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/168793/ case - manager -rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170050/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...related field or at least one year experience in case management, discharge planning or nursing management; + CCM… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/168695/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...a related field. At least one year experience in case management, discharge planning or nursing management; + CCM… more