- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Case Manager RN Sign-on Bonus and Relocation Reimbursement available!...are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCES ... Position Summary: Supervise clinical therapy, social work, and case manager social work staff. Responsible for the initial ...manager social work staff. Responsible for the initial review , triage and assignment of patients to case managers… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for this… more
- VitalCore Health Strategies (Hopkinton, MA)
- …(VCHS), an industry leader in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA Start A New ... on respect and appreciation of the hard work and dedication of our staff. UTILIZATION MANAGEMENT RN - ESSENTIAL FUNCTIONS Essentially will serve as a Regional Office… more
- Novo Nordisk Inc. (Atlanta, GA)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Merck & Co. (Rahway, NJ)
- …effective communication and completion of deliverables.- Understand priorities from manager /supervisor to ensure task completion. Understand/act on guidance from ... Tie into overall FLEx Center metrics across modalities to drive efficiency. Utilization of our company's Leadership Behaviors and Inclusion to promote daily work… more
- Macy's (Dorchester, MA)
- …what makes this such a special place to work. Job Overview The Manager , Business Administration leads the essential activities and colleagues that drive Stores' ... budgets and cash office functions. What You Will Do Collaborate with the Store Manager and other Store Leaders to drive overall Store Scorecard results by focusing… more
- University Health (Seguin, TX)
- …(as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... 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 (San Antonio, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- University Health (Boerne, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... as a registered nurse is required. National certification in related field is preferred. xrbllit Case Manager Certification (CCM or ANCC) is highly desirable. more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn-case- manager utilization - ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… 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 ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Behavioral Center of Michigan (Warren, MI)
- …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- UPMC (Pittsburgh, PA)
- …to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services ... UPMC Health Plan is hiring a full-time UM Care Manager to support our UM Clinical Operations team. This...information obtained from interaction with members and providers. + Review and document clinical information from health care providers… more
- Vighter Medical Group (Glendale, CO)
- …our team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating ... - no nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews of medical records… more
