- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- Emanate Health (Covina, CA)
- …Requirement:** Two years recent acute clinical experience. Minimum of two recent years of Case Management , Utilization Review or Medi-Cal experience or ... also include development and facilitation of educational in-services for medical staff, case managers, utilization management , discharge planning and other… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- HCA Healthcare (Largo, FL)
- …care and cost effectiveness through the integration of case management and utilization review management . We are an amazing team that works hard to ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …literate Preferred: At least 2 years in area of specialization, 2 years of Case Management / Utilization Review experience **Other** Required: Managed Care ... Concurrent Review ** **Location: Pearland Administrative Office** **Department:** **KCA Utilization Management ** **Job Type: Full Time** **Salary Range:… more
- Spaulding Rehabilitation (Charlestown, MA)
- …Established department goals are achieved through active participation in Utilization Review Committee. * Case Management Department Standards of ... experience and certification in case management preferred. Case management , utilization review , or discharge planning experience in… more
- HCA Healthcare (Tallahassee, FL)
- …level. + Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation ... Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation… more
- Trinity Health (Athens, GA)
- …and health care settings. Case Management : Has overall responsibility of case management , utilization review , and transition planning across St. ... Full time **Shift:** **Description:** General: Responsible and accountable for system-wide case management within St. Mary's Health Care System: formulates… more
- LifePoint Health (Bullhead City, AZ)
- …on their professional licensure *Minimum Work Experience* Minimum of 3-5 years in Case Management / Utilization Review X Preferred *Required Licenses* ... care, including admission, length of stay, transfer and discharge. Case Management is a collaborative process of...comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar… more
- Stanford Health Care (Palo Alto, CA)
- …**Required Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review , social work, care ... competence of Case Managers, Social Workers, Complex Case Managers Support Liaisons, and Utilization /Denials &...the interpretation of data related to social work and case management and delivery of interventions. **Locations**… more
- HCA Healthcare (Savannah, GA)
- …of work experience in case management ) + 5+ years of acute care case management , utilization review , or social services experience required; 3+ ... this opportunity compelling, we encourage you to apply for our Manager Case Management opening. We promptly review all applications. Highly qualified… more
- Community Health Network (Anderson, IN)
- …to promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management and ... Community Anderson Job Ref 2401150 Category Nursing Job Family Case Manager Department Case Management ...Manager opportunity available. Primary role will be to complete Utilization Review for Community Anderson Emergency Room… more
- HCA Healthcare (Davie, FL)
- …or 2 years of critical care experience** + **Certification in case management or utilization review preferred** + **InterQual experience preferred** ... appropriate resource utilization .** **PERFORMANCE EXPECTATIONS:** + **Provides case management services for both inpatient and...growth, we encourage you to apply for our RN Case Manager PRN opening. We promptly review … more
- HCA Healthcare (Dallas, TX)
- …required, experience preferably in a hospital setting + Certification in case management or utilization review preferred + InterQual experience preferred ... Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and...we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications.… more
- McLaren Health Care (Detroit, MI)
- …Bachelor's degree in coding/medical records/billing or UM * Two years of case management or utilization review experience * Three years of recent ... **Department: Case Management ** **Hours per pay period:...patients, colleagues and community. 5. Performs concurrent and retrospective utilization management -related activities and functions to ensure… more
- Baylor Scott & White Health (Dallas, TX)
- …solution to their issues. + Knowledge and use of discharge planning, case management referral criteria, utilization review and levels of care. + ... quarterly meetings. + 3, 12 hour shifts. Saturday, Sunday, Monday. **JOB SUMMARY** The Utilization Review Registered Nurse (RN) provides a clinical review of… more
- HCA Healthcare (Richmond, VA)
- …work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center ... finances and/or physical disabilities. + As a member of Case Management team you will provides crisis...payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will… more
- LifePoint Health (Bullhead City, AZ)
- …based on their professional licensure Minimum Work ExperienceMinimum of 3-5 years in Case Management / Utilization Review X Preferred Required ... care, including admission, length of stay, transfer and discharge. Case Management is a collaborative process of...their comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar… more
- HCA Healthcare (Richmond, VA)
- …work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center ... finances and/or physical disabilities. + As a member of Case Management team you will provides crisis...payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will… more
- HCA Healthcare (Miami, FL)
- …or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred **SCHEDULE** ... supporting a balance of optimal care and appropriate resource utilization . RESPONSIBILITIES: + Provides case management...growth, we encourage you to apply for our RN Case Manager PRN opening. We promptly review … more