• Christus Health (Santa Fe, NM)
    Description Registered Nurse uses approved screening criteria (Milliman/Interqual/CMS Inpatient List) to determine the medical necessity of a requested ... for appropriate bed assignment. Actively involved in management of inpatient observation patients. Provides consultative role as utilization management nurse… more
    PandaLogic (01/11/20)
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  • Corizon Health (Halethorpe, MD)
    …as you begin or continue to advance your correctional healthcare career. The UM Report Coordinator monitors, organizes and maintains clinical reports that ensure ... that focus on the quality of care for all inpatient and/or outpatient services. This includes, but not limited...1. Review, compile and coordinate the data required for UM Monthly Reports to include, but not limited to… more
    Neuvoo (01/28/20)
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  • Legacy Health (Portland, OR)
    …of care to prevent unnecessary complications and negative patient outcomes. Communicates with UM RN(s) and with insurance and community case managers, when ... Overview You are the voice, the coordinator and the empathetic advocate of patients facing...this is how you define your role as a Case Manager, we invite you to consider this opportunity.… more
    Legacy Health (01/28/20)
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  • Hoag Memorial Hospital Presbyterian (Newport Beach, CA)
    …user community. Identifies current clinical challenges and opportunities related to inpatient care, optimizing the use of Epic's solutions. Maintains professional ... of integration points, including scheduling, lab, radiology, billing, and inpatient clinical. Responsibilities may include, Care Everywhere, SmartForms, Meaningful… more
    Hoag Hospital Hoag Memorial Hospital Presbyterian (01/23/20)
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  • Hoag Memorial Hospital Presbyterian (Newport Beach, CA)
    …of integration points, including scheduling, lab, radiology, billing, and inpatient clinical. Responsibilities may include, Care Everywhere, SmartForms, Meaningful ... referrals, PCP assignment, and orders. Healthy Planet Population Health: Familiarity with case or care management workflows and wellness programs Familiarity with or… more
    Hoag Hospital Hoag Memorial Hospital Presbyterian (01/23/20)
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  • Hoag Memorial Hospital Presbyterian (Newport Beach, CA)
    …of integration points, including scheduling, lab, radiology, billing, and inpatient clinical. Responsibilities may include, Care Everywhere, SmartForms, Meaningful ... referrals, PCP assignment, and orders. Healthy Planet Population Health: Familiarity with case or care management workflows and wellness programs Familiarity with or… more
    Hoag Hospital Hoag Memorial Hospital Presbyterian (01/23/20)
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  • FT UM Case Manager RN

    Steward Health Care System (Rockledge, FL)
    …relevant to scope of practice. + Participates in routine huddles with Care Coordinator Case Manager and Social Worker to facilitate transition management. + ... POSITION SUMMARY: The Utilization Review Case Manager validates the patient's placement to be...by: + Reviews patient admissions for appropriateness of admission, inpatient versus outpatient status, expected length of stay, level… more
    Steward Health Care System (01/11/20)
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  • Inpatient Care Coordinator ICC

    naviHealth, Inc. (Clarion, PA)
    Job Summary The Inpatient / LTAC (Long Term Acute Care) Care Coordinator (ICC) plays an integral role in the "high risk" member's journey towards better ... be discriminated against on the basis of disability. External Job Posting Title: Inpatient Care Coordinator ICC Requisition ID: 2019-2892 Location Type: Field /… more
    naviHealth, Inc. (01/15/20)
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  • RN Case Manager

    Sutter Health (Modesto, CA)
    …upon request proof of liability insurance. **PREFERRED QUALIFICATIONS** : + Recent experience as an UM Coordinator and CM in DC Planning in an ED or acute care ... **Position Overview:** The RN Case Manager (RNCM) facilitates utilization management ( UM...right to self-determination." This position will serve to support UM needs on inpatient units and/or the… more
    Sutter Health (11/22/19)
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  • Skilled and Transitional Care Coordinator

    naviHealth, Inc. (NY)
    Job Summary The Skilled Inpatient and Transitional Care Coordinator plays a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional ... other type rounds as needed based upon opportunities. + Perform all Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. + Collaborate… more
    naviHealth, Inc. (01/26/20)
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  • Care Coordinator II

    Morehouse School Of Medicine (Atlanta, GA)
    Position Information Posting Number NONAC1598 Job Title Care Coordinator II Position Title Care Coordinator II Position Type Non-Faculty Salary Department ... Morehouse Healthcare (MHC) Position Summary The Care Coordinator 's primary responsibilities are to facilitate care management and coordination of clinical activities… more
    Morehouse School Of Medicine (11/22/19)
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  • Long-Term Services & Support Reviewer Utilization…

    AmeriHealth Caritas (Philadelphia, PA)
    …reviews. Using clinical knowledge and nursing experience, the nurse reviews Service Coordinator and Participant requests for inpatient and outpatient services, ... reviews. Using clinical knowledge and nursing experience, the nurse reviews Service Coordinator and Participant requests for inpatient and outpatient services,… more
    AmeriHealth Caritas (01/24/20)
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  • Long Term Services and Supports Reviewer…

    AmeriHealth Caritas (Philadelphia, PA)
    …knowledge and health care/social services experience, the Reviewer reviews Service Coordinator and Participant requests for inpatient and outpatient services, ... follows Plan CHC process for requesting additional information. + Documents case activities for Utilization determinations and discharge planning enterprise platform… more
    AmeriHealth Caritas (12/14/19)
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