- LifePoint Health (Hickory, NC)
- *Registered Nurse, (RN) Care Coordinator / UM UR Nurse* *South Campus* *Who We Are:* *People are our passion and purpose.*Come work where you are appreciated for ... **Job:** **Nursing* **Organization:** ** **Title:** *Registered Nurse, (RN) Care Coordinator / UM UR Nurse* **Location:** *NC-Hickory* **Requisition ID:**… more
- Sharp HealthCare (San Diego, CA)
- …patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with ... hospital stay beginning with the admission review of the case manager and reviews with the Case ...to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required,… more
- Catholic Health Initiatives (Omaha, NE)
- …five (5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred + Able to apply clinical ... **Overview** The RN Care Coordinator is responsible for overseeing the progression of...to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. Collaborates… more
- Catholic Health Initiatives (Council Bluffs, IA)
- …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Able to apply clinical ... **Overview** The RN Care Coordinator is responsible for overseeing the progression of...to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. Collaborates… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …if located within hospital Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Pay Range** $46.96 - ... bonus eligibility, and more! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Able to apply clinical ... more! **Responsibilities** Sign on bonus available for qualified candidates The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Corewell Health (Royal Oak, MI)
- …coordination; and/or discharge/transition planning). 2. Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual… more
- Corewell Health (Trenton, MI)
- …coordination; and/or discharge/transition planning). + Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual… more
- Actalent (San Bernardino, CA)
- …relationship with PACM colleagues, the pre-auth coordinator team, high-risk nurse case managers, inpatient nurse case managers, medical directors, and ... right care/right setting * When necessary, act as liaison between the case managers, UM coordinators, contracted providers (PCPs/specialists/ancillary), and the… more
- Tenet Healthcare (Detroit, MI)
- …timely payment for services that may require negotiation with a payor on a case -by- case basis. This position integrates national standards for case ... over and underutilization Timely, complete, and concise documentation in Tenet Case Management documentation system Maintenance of accurate patient demographic and… more