- Molina Healthcare (Los Angeles, CA)
- …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and ... expected length of stay for requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its… 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 (Richmond, VA)
- …we encourage you to apply for our Case Manager RN Inpatient Rehabilitation PRN opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a ** Case Manager RN Inpatient Rehabilitation...in evaluating medical necessity. + Performs admission and concurrent review for all payers and maintains legible documentation as… 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
- Scripps Health (San Diego, CA)
- …highly preferred #LI-DP1 **Job:** **RN* **Organization:** **Scripps Health Corp* **Title:** * Inpatient Case Management/ Care Manager Transition Program ... orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. *This is an inpatient -based Case Management/Care Manager training program which… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... 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
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250226 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
- Stanford Health Care (Palo Alto, CA)
- …Skills and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge ... Brief Overview** This role independently supervises a multidisciplinary team including case managers, social workers, complex care managers and support liaisons. The… more
- Sharp HealthCare (San Diego, CA)
- …sees every patient identified per departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the ... acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience… more
- Cedars-Sinai (Beverly Hills, CA)
- …(BLS) from American Heart Association or American Red Cross required. + Certified Case Manager (CCM) for Registered Nurse preferred. **Experience:** + Two (2) ... years of acute nursing, discharge planning and HMO, previous case management experience, utilization review , and knowledge...**Req ID** : 8879 **Working Title** : RN Supervisor, Case Management - Inpatient Specialty Programs **Department**… more
- Sharp HealthCare (San Diego, CA)
- …use by themselves, Medical Directors, the Hospitalist Physician and/or Case Manager .Identifies and refer requests for review by higher level staff (Medical ... of Sharp and/or Hospital applications to retrieve patient medical records for review by Case Managers.Verifies and documents eligibility and benefit… more
- HCA Healthcare (Georgetown, TX)
- …observation status or inpatient admission) placement on department in absence of case manager . + You will complete rounding on all therapy staff according ... **Description** **Introduction** We are seeking a(an) Inpatient Rehabilitation Therapy Manager with St. David's Georgetown Hospital to promote growth and unlock… more
- Select Medical (Hummelstown, PA)
- …Management preferred + Experience in ICD-10 coding preferred + Experience as a Case Manager in rehabilitation preferred **Additional Data** At our rehabilitation ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/325773/pps- manager inpatient -rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and ... 8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse (RN) Case Manager...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review … more
- Banner Health (TN)
- …- you belong at Banner Health. Looking for a motivated, experienced **Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical Coder** to join ... HIMS Coding Team. Ideally a minimum **5 years of inpatient coding experience in Acute Care inpatient ...specific patient types and specialties in combination with the Case Mix Index and case financial information… more
- Atlantic Health System (Morristown, NJ)
- …Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical Center. ... team to achieve optimal clinical and resource outcomes, work with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor… more
- University of Miami (Miami, FL)
- …of Miami, Bascom Palmer Eye Institute, has an exciting opportunity for a full time Manager , Nursing for the Ambulatory Surgery & Inpatient Unit. The Manager , ... of care and policies and procedures by direct observation, nursing documentation review accuracy and communicates results to appropriate staff members. + Promotes… more
- Bon Secours Mercy Health (Lorain, OH)
- …include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of ... acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to insurance...employees who serve in the admissions coordinator role or case manager role and provide shared coverage… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more