- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …the globe. **Exciting Opportunity at MSK:** Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management ... for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management… more
- Geisinger (Scranton, PA)
- Job Title: RN - Registered Nurse Care Manager Location: Scranton, Pennsylvania Job Category: RN - Registered Nurse, Nursing and Nursing Support Schedule: Days Work ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...Geisinger Community Medical Center (GCMC), providing direct support to inpatient hospital teams. Job Duties A typical workweek is… 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...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases.… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …which may include preauthorization, outpatient and inpatient management, case management, retrospective claim review , and delegated management oversight. ... note this position aligns to PST business hours.** The ** Manager , Case Management** Team is a Supervisor...field preferred. + Experience with NCQA, URAC, or accreditation review processes + Experience in continuous process improvement and… more
- Commonwealth Care Alliance (Boston, MA)
- …support consistency and quality across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance coordination and care ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Monte Nido (Dedham, MA)
- …+ Carry a caseload of a maximum of 4 cases at a time as a clinical case manager for both adolescent and adult clients. + Participate in daily treatment team ... inpatient and residential group treatment and individual clinical case management to support individuals experiencing mental illness, inclusive of eating… more
- Commonwealth Care Alliance (Springfield, MA)
- …improvement efforts + Participates in regular Interprofessional Care Team meetings and Team Case Review . + Participates in Risk Management meetings as needed. + ... across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports.… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …and completeness of clinical documentation + Collaborate with physicians, APPs, case managers, and allied health professionals to ensure documentation accurately ... and regulatory changes + Participate in clinical validation denials review and value measurement/financial sustainability projects **Role Overview - Clinical… more
- Brockton Hospital (Brockton, MA)
- …delivery of services. Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as ... of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. more
- HCA Healthcare (Dallas, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab...to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts initial… more
- HCA Healthcare (Charleston, SC)
- …and personal growth, we encourage you to apply for our Inpatient Rehab Case Manager opening. We promptly review all applications. Highly qualified ... **Introduction** Do you have the career opportunities as an Inpatient Rehab Case Manager you...experience in case management . Certification in case management or utilization review preferred .… more
- Ellis Medicine (Schenectady, NY)
- … Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning… more
- HCA Healthcare (Richmond, VA)
- …encourage you to apply for our Case Manager Social Worker Inpatient Rehab PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager Social Worker Inpatient Rehab PRN you want with your current… more
- Texas Health Resources (Dallas, TX)
- Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective utilization review… more
- Henry Ford Health System (Detroit, MI)
- …to Weekends - Saturday & Sunday from 8am-6:30pm Onsite Only GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Cedars-Sinai (Marina Del Rey, CA)
- …staff member feels like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management ( Inpatient ) - Per Diem (8-hour day shifts) - ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...+ Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for… more
- Henry Ford Health System (Detroit, MI)
- …Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to ... for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American ...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Helio Health Inc. (Syracuse, NY)
- …other behavioral healthcare issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts to track, review ... , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse Inpatient… more
- University of Virginia (Charlottesville, VA)
- …initial screening on all patients within one day of patient being available to the case manager . Begin discharge planning process on patients deemed to be high ... Within the inpatient setting to assess and address patient and...+ Completes documentation on all patients being followed by Case Management at discharge + Appropriately identifies need for… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every ... Daylight M-F, 40 hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
