- Ventura County (Ventura, CA)
- Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) ... Apply Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Salary $119,061.54 - $151,803.47 Annually Location Ventura, CA Job… more
- Actalent (Edmond, OK)
- …Skills: Acute care, acute, nurse, clinical, healthcare, Case management , Utilization management , Utilization review , Insurance Top Skills ... areas: case management , . * 5 years experience in case management , utilization Review Experience Level: Intermediate Level About Actalent… more
- Virtua Health (Pennsauken, NJ)
- …processes and maintains required documentation and reports such as productivity/ utilization , medical records, customer surveys, audits, financial reports, staff ... certifications/licenses.* Schedules management appointments, meetings, conferences. Prepares meeting minutes and memos. May maintain calendars/itinerary for … more
- 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
- 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
- Sharp HealthCare (San Diego, CA)
- …nursing experience or case management experience + 3 Years recent case management , utilization review , care coordination experience + California ... performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and… 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
- Penn Medicine (Philadelphia, PA)
- …(Required) + Master of Arts or Science (Required) + Minimum 5 years' experience in case management / utilization review . + Minimum 6 years' experience in ... leadership team as a Senior Director to lead the Case Management and Social Work departments. In...functions of these areas to include processes pertaining to Utilization Review , Patient Progression as it relates… more
- Sedgwick (Columbus, OH)
- …environment. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Accesses and assigns cases for medical case management , utilization review and clinical ... staff through the completion of components of the case management and utilization review process. + Schedules diagnostic tests and physician appointments… 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
- Alameda Health System (San Leandro, CA)
- …as a Registered Nurse in the State of California. **Additional Information** Note: Must have Case Management , Utilization Review experience in a Hospital ... The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and… more
- Banner Health (Page, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… 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
- Covenant Health (Nashua, NH)
- …in-services are attended /documented. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current ... medical necessity (whether based on initial or continuing stay review ) to determine whether a level of care change...Minimum of five years broad clinical experience preferred + Case management and/or Utilization … more
- Covenant Health (Lewiston, ME)
- …Mandatory in-services are attended /documented. Annual goals are achieved. Attends pertinent case management / utilization review programs to maintain ... medical necessity (whether based on initial or continuing stay review ) to determine whether a level of care change...Minimum of five years broad clinical experience preferred + Case management and/or Utilization … 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
- Universal Health Services (Palmdale, CA)
- …years of acute care clinical experience required and minimum of 3 years clinical case management / utilization review experience preferred. + BSN ... Repayment Assistance Program Essential Job Duties: The Director of Case Management serves as an interdisciplinary team...This person is the expert on issues related to utilization review and discharge planning. Qualifications Requirements:… more