- ERP International (Anchorage, AK)
- …software, and databases for community resources. - Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case ... CM processes. - Develop and implement local strategies using inpatient , outpatient, onsite and telephonic CM - Develop and...Affairs, along with basic knowledge of the Recovery Care Coordinator program. Certification:** o Commission for Case … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …serve as a leader of positive change. The **Utilization Management Coordinator ** utilizes clinical knowledge and understanding of behavioral health resource ... care for a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center… more
- Cedars-Sinai (Beverly Hills, CA)
- …**Req ID** : 12508 **Working Title** : RN Care Coordinator - Inpatient Specialty Program **Department** : Case Management **Business Entity** : Cedars-Sinai ... About What You Will be Doing** The RN Care Coordinator is responsible for the case management...Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are… more
- University of Miami (Boca Raton, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- Cedars-Sinai (CA)
- …experience ( UM or DC Planning). + 1 year of previous experience in case management in the acute inpatient or outpatient settings preferred; knowledge of HMO ... and Medicare rules in inpatient , home health and at the SNF settings preferred...Coordinator - 8 Hour Part Time **Department** : Case Management **Business Entity** : Cedars-Sinai Medical Center **Job… more
- Saint Francis Health System (Tulsa, OK)
- …offerings. \#ALDIND Saturday and Sunday **This position will be submitting inpatient notification and performing Nonclinical roles .** Job Summary: Provides ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- University of Southern California (Alhambra, CA)
- …evaluating their understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Sharp HealthCare (San Diego, CA)
- …patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with ... hospital stay beginning with the admission review of the case manager and reviews with the Case ...to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required,… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
- Corewell Health (Dearborn, MI)
- …coordination; and/or discharge/transition planning). + Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual… more
- Trinity Health (Columbus, OH)
- …Member Services, Grievance Coordinator and other operational departments regarding case management issues. + Conducts inpatient concurrent review. + ... other resources as appropriate. Assists in the implementation of Case Management software along with the Plan's UM and QM Program and the review of the Plan's… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... timely payment for services that may require negotiation with a payor on a case -by- case basis. This position integrates national standards for case … more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …including assigning and delegating work, and acts as a resource coordinator by communicating discharge plans effectively with the healthcare team. Participates ... teams, and leads individual team meetings. Monitors and reports Utilization Management ( UM ) data, sourced from NUMI (internal program), to enhance UM … more
