- Kaiser (Lanham-Seabrook, MD)
- …decrease inappropriate utilization of medical services.In close collaboration with the nurse case manager and other members of the health care team, develops ... cost effective, efficient, and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and… more
- Kaiser (Arlington, VA)
- …decrease inappropriate utilization of medical services.In close collaboration with the nurse case manager and other members of the health care team, develops ... cost effective, efficient, and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
- Prime Healthcare (Chino, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226811/ case - manager -%28rn%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Actalent (Santa Barbara, CA)
- …unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical Reviews Experience level: ... Remote Utilization Management RN Leading healthcare facility...Description: + REMOTE + RN with experience in providing Case Management services to the Pediatric population.… more
- Ellis Medicine (Schenectady, NY)
- …beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with Case ... Basic Function: The Case Management Associate's primary function is...agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering… more
- Molina Healthcare (WA)
- …RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... or state board licensing mandate. + At least 2 years in case , disease or utilization management ; managed care; or medical/behavioral health settings. + One… more
- Guthrie (Sayre, PA)
- …and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for..., utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Trinity Health (Chelsea, MI)
- …time **Shift:** Rotating Shift **Description:** **Registered Nurse** ** Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI ... Health + Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and serve with us as… more
- Ellis Medicine (Schenectady, NY)
- …Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, ... per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case Managers and… more
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- HCA Healthcare (Salem, VA)
- …command. . In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers . You will act ... about delivering patient-centered care?** Submit your application for RN Case Manager position and spend more time...deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your… more
- LifePoint Health (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** * Case Manager - RN ED* **Location:** *NC-Wilson* **Requisition ID:** *7462-9340* more
- AdventHealth (Parker, CO)
- … Manager (CCM) + Accredited Case Manager (ACM) + Experience in utilization management or case management This facility is an equal opportunity ... is under the general supervision of the Care Management Supervisor or Manager or Director of...each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Parker **Schedule:** Per… more
- HCA Healthcare (Pulaski, VA)
- …of command. .In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers .You will act ... an organization that invests in you as a RN Case Manager ? We are seeking an experienced...a member of this team, you will develop a case management plan of care for new… more
- HCA Healthcare (Salem, VA)
- …command. . In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers . You will act ... an organization that invests in you as a RN Case Manager ? We are seeking an experienced...a member of this team, you will develop a case management plan of care for new… more
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Select Medical (Tallahassee, FL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Chicago, IL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
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