- Detroit Medical Center (Detroit, MI)
- …case basis. This position integrates national standards for case management scope of services including: Utilization Management services supporting ... over and underutilization Timely, complete, and concise documentation in Tenet Case Management documentation system Maintenance of accurate patient demographic… more
- North Mississippi Health Services (Amory, MS)
- North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... or LPC-Licensed Professional Counselor Upon Hire Required Certified as a Board Certified Case Manager within 1 year of accepting position Upon Hire Preferred… more
- UT Health Tyler (Tyler, TX)
- …a sign on bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People ... plan of care using a concurrent integrated review, standard operating procedures, case management tools, and collaborative efforts with all members of… more
- Merck & Co. (Durham, NC)
- …the team finishes the design and construction of the facility, the Operations Manager will play a critical role in supporting the Global Engineering Services team, ... complying with current Good Manufacturing Practices in the form of project management and ultimately shop floor leadership.-Key Responsibilities for a Drug Product… more
- Advocate Aurora Health (Adell, WI)
- …Health Job ID #R106418. Posted job title: Home Health Physical Therapy Case Manager - Sheboygan AreaAbout Advocate Aurora HealthAdvocate Aurora Health's 22,000 ... plan for obtaining adaptive devices as needed.Discusses caseload issues and changes in case census with management . Communicates problems to physicians and … more
- Highmark Health (Pittsburgh, PA)
- …3 years with utilization review/ management + 1 year as a supervisor or manager of Utilization / Case Management with a Managed Care Organization + ... customers of Helion's technology platform(s). **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case … more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… 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
- Trinity Health (Darby, PA)
- … to provide support to the Emergency Department Case Manager , Utilization RNs, and Utilization Management support staff. Also adheres to the ... Care Coordination Manager , provides support to the utilization management , denials and appeals process for...training and audits as required + Assists with appropriate case referral to the Utilization Management… more
- Humana (Columbia, SC)
- …acute care experience in a behavioral health setting + Certified Case Manager (CCM) + Utilization management experience **Additional Information** ... barriers to helping people achieve their best health. The Manager , Care Management Behavioral Health leads teams...of management experience + 2+ years Care Coordination/ Case Management experience + Proficiency in analyzing… more
- Mayo Clinic (Jacksonville, FL)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Mayo Clinic (Phoenix, AZ)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Mayo Clinic (Phoenix, AZ)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… 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
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- The Mount Sinai Health System (New York, NY)
- The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED patients and ... management and the transition of care. The Case Manager actively participates in specific clinical...of stay (LOS), improved efficiency and quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Children's Hospital Boston (Boston, MA)
- …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
- Children's Hospital Boston (Boston, MA)
- …a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Regular Remote ... 72065BRJob Posting Title:RN Case Manager , weekend only, on-site (16...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
