- Trinity Health (Maywood, IL)
- …Under the direction of the Director/Manager oversees the daily caseloads of the UR/ UM teams. This includes utilization review of inpatient medical and behavioral ... or Interqual and Epic EMR are highly desired as well as experience with inpatient UR and/or outpatient referral authorizations. **Great opportunity for a Lead Care … more
- Catholic Health Initiatives (Council Bluffs, IA)
- …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Able to apply clinical ... **Overview** The RN Care Coordinator is responsible for overseeing the progression of...to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. Collaborates… more
- Virginia Mason Franciscan Health (Burien, WA)
- …located within hospital Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred \#LI-VMFH* **Pay Range** ... FTE- min 0.6 FTE required) **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …if located within hospital Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Pay Range** $46.96 - ... bonus eligibility, and more! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Able to apply clinical ... more! **Responsibilities** Sign on bonus available for qualified candidates The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Universal Health Services (Madera, CA)
- …We are currently seeking a forward thinking and compassionate UTILIZATION MANAGEMENT( UM ) COORDINATOR . Facilitates a continuum of service while promoting ... of 3-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or...JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE BY CASE BASIS. + Ability to… more
- University of Michigan (Ann Arbor, MI)
- …Care Coordinator . The Arrhythmia office nurse provides comprehensive nursing case management to Electrophysiology (EP) patients in the Arrhythmia and Device ... CLINICAL CARE COORDINATOR (Cardiovascular Center- Cardiac Procedures Unit- EP Lab)...be able to manage rapidly changing clinical situations in inpatient and outpatient settings. + Demonstrated ability to anticipate… more
- University of Miami (Coral Gables, FL)
- …for Clinical Services, this position requires a variety of skills involving case management, crisis intervention, intake and triage assessment, individual and group ... counseling, outreach, consultation and administration. The Case Manager will primarily maintain and monitor...clients who are in need of intensive outpatient or inpatient mental health services, hospital visits, obtaining external referral… 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 (Farmington Hills, 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
- Corewell Health (Troy, 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
- Corewell Health (Royal Oak, MI)
- …coordination; and/or discharge/transition planning). 2. 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. 4. May review cases for medical necessity, uses InterQual… more
- Tenet Healthcare (Detroit, MI)
- …timely payment for services that may require negotiation with a payor on a case -by- case basis. This position integrates national standards for case ... over and underutilization Timely, complete, and concise documentation in Tenet Case Management documentation system Maintenance of accurate patient demographic and… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …with a focus on older adults and mental health. Acts as the Utilization Management ( UM ) nurse for the inpatient acute psychiatric unit. Tracks quality data for ... Program (EPRP) metrics. Acts as the Utilization Management nurse for the inpatient acute psychiatric unit. Serves as an Alternate Controlled Substance Coordinator… more