- University Health (San Antonio, TX)
- …a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse ... Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is… more
- University Health (San Antonio, TX)
- …practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable. ... Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience… more
- Peoples Home Health, LLC (Pensacola, FL)
- …insurance carriers and verifies benefits and eligibility. Collaborates with CTM/ Case Manager on authorized visit to assure accurate utilization for patient ... needs. Follow up with AE/Liaisons via text or email to assure notification of referrals received and documentation needed. Answer text or calls on weekends and after hours for insurance questions of new referrals. Acts as backup to clinical staff and assist as… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Baystate Health (Springfield, MA)
- …employees. Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management** The **RN Hospital Case ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in the application of medical… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
- HCA Healthcare (Derry, NH)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager Team Lead will identify ... in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to...+ Two or more years of clinical experience. + Case Management, Utilization & Managed Care experience… more
- Sanford Health (Rapid City, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a ... value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we...clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/management… more
- Sevita (Augusta, GA)
- …receipt from accounting staff. Identifies any discrepancies to accounting staff. + Coordinates utilization with the Case Manager relative to program ... and foremost in accordance with the Company's mission. **SUMMARY** **The Case Coordinator is responsible for providing organizational assistance and programmatic… more
- Actalent (Duluth, GA)
- …opportunity! Description Nurse will be working on site. Responsibilities will include: Case Manager / Utilization Management (90%) and Discharge Planning. ... Case management & Utilization management registered...and Oregon. Required Skills At least 1 year of case management/care management Must be a RN (Registered Nurse)… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ...or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Access Dubuque (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... RN Case Manager PRN Dubuque **MercyOne** 1...RN Case Manager PRN Dubuque **MercyOne** 1 Positions ID: TRHEUS00632013MERCYO...MercyOne Family! We are looking to hire a Nurse Case Manager . The Case … more
- Mayo Clinic (Rochester, MN)
- …social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
- Trinity Health (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... Join the MercyOne Family! We are looking to hire a Nurse Case Manager . The Case Manager at MercyOne coordinates care… more
- Trinity Health (Clinton, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... Day Shift - (8 hour shift) **Essential Functions:** + Responsible for case screening, insurance approval, assurance of timely services, and facilitation of discharge… more
- Guthrie (Sayre, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Beth Israel Lahey Health (Burlington, MA)
- …Act and ANA Standards of Practice and Code of Ethics, the Case Manager performs duties relative to utilization and discharge planning. The Complex Case ... taking a job, you're making a difference in people's lives.** The Complex Case Manager coordinates difficult and complex discharges. Under the general direction… more
- Mayo Clinic (Jacksonville, FL)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
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