- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... the right time, and in the right setting". The UR CM is responsible for preoperative, concurrent, and retrospective...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… 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 ... must be obtained within six (6) months of hire into position. 6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required. 7. Excellent communication skills, critical thinking, creative problem-solving skills,… more
- Southeast Health (Dothan, AL)
- …for medical necessity on admission and continued stay in the acute care setting. The UR case manager collaborates with all components of the healthcare ... system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal responsibility, and patient satisfaction. Job Description Essential Functions + Perform admission and continued stay reviews of all inpatients and… more
- ChenMed (Newport News, VA)
- …CCM or DM programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager ** ( _primarily clinic ... expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality… more
- Elevance Health (Richmond, VA)
- …medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that require the training and skill of a registered nurse. ... HIP, PPL, and Total Member View (TMV) + Prior LTSS/ Case Management, and Service Facilitation experience is preferred. Please...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- WMCHealth (Margaretville, NY)
- Case Manager D-RN Company: Margaretville Hospital City/State: Margaretville, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... Internal Applicant link Job Details: Summary of Job Purpose Case Manager coordinates care and service of...clinical reviews to medical insurance companies as requested. + UR -Collaborates with the Health Information Manager to… more
- Guthrie (Sayre, PA)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
- HCA Healthcare (Englewood, CO)
- …Do you want to join an organization that invests in you as a(an) RN Case Manager ? At HCA HealthONE Swedish, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated RN Case Manager like you to be a...daily with the discharge planners, social work staff, and UR RN's to determine the plan of care and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW** The Case Manager (CM) will be responsible for all aspects of ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: 11. Maintains a working knowledge of the UR requirements of each payor within the patient population;… more
- HCA Healthcare (Kansas City, MO)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your ... certifications and job skills. Apply today for our RN Case Manager Lead opening and continue to...using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What… more
- HCA Healthcare (Panama City, FL)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida Gulf Coast ... passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications**...Identifies and transmits system issues impacting patient care to Case Management Director/CFO/ UR committee, as appropriate +… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... POSITION SUMMARY The purpose of the Case Coordinator position is to support the physician...achieve continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively… more
- Select Medical (Memphis, TN)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Wichita, KS)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Chicago, IL)
- **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)** *Availability to work a minimum of 2 shifts per month on an "as needed" ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Lake Worth, FL)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Newport News, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… 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...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more