- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...+ Minimum 2 years of precertification experience + Certified Case Manager , preferred + 3-5 years of… 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
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include ... members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review ...acute utilization management + Interacts with outside review agencies and payors to inform them of extended… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes ... home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to… more
- Adecco US, Inc. (Houston, TX)
- …records (EHR) systems is essential. . Preferred certifications include Certified Case Manager (CCM) or Certified Utilization Review Nurse (CURN). **Pay ... & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This...in Texas . 2 to 3 years of clinical nurse/ case management experience . 2 to 3 years of… more
- HCA Healthcare (San Jose, CA)
- …our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager is responsible for utilization review and discharge planning for ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with Good Samaritan Hospital you can be a part of an… more
- Covenant Health (Lewiston, ME)
- …experience in utilization review , discharge planning, social work case management, or Utilization Manager experience preferred. + Certification ... skills and experience as it relates to the position. Summary The UR Case Manager conducts medical necessity reviews per the Utilization Management (UM) plan… more
- Ochsner Health (New Orleans, LA)
- …license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional ... in the delivery of patient care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse… more
- Baptist Memorial (Columbus, MS)
- …+ Healthcare/Medical- Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred. Education Minimum Required + Graduate of School ... to complete an initial review . Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed… more
- HCA Healthcare (Derry, NH)
- …and Qualifications** The Case Manager 's primary duties are to provide Utilization Review and Case Management functions for the organizationunder the ... you have the PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you want...you to apply for our RN Case Manager Registered Nurse PRN opening. We review … more
- Arnot Health (Elmira, NY)
- …to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- Nuvance Health (Sharon, CT)
- …health to the patient. Responsibilities for this full time RN Case Manager position includes include utilization review , discharge planning and care ... license, Bachelors Degree in Nursing or related field, a minimum of 1 year Case Management experience in an acute care setting. CCM, PRI and Screen certifications… more
- Avera (Sioux Falls, SD)
- …from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation with ... Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity,...Utilization Review staff on patients status and ongoing coverage +… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...coordinate care and address clinical documentation needs for accurate case review and status determination. + Oversee… more
- HCA Healthcare (Richmond, VA)
- …Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, you come ... make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management...in evaluating medical necessity. + Performs admission and concurrent review for all payors and maintains legible documentation as… more
- LifePoint Health (Gallatin, TN)
- …management or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **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
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/ 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