- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of ... Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN - Case Manager… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …of Mary Medical Center - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case ... Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management… more
- Ultimate Staffing (Long Beach, CA)
- …Manager plays a key role in ensuring timely and accurate completion of Utilization Management (UM) and Case Management (CM) reports in accordance with ... Plan audits, and for collaborating closely with the UM Manager to maintain compliance across all functions. A critical...key role in ensuring timely and accurate completion of Utilization Management (UM) and Case Management (CM)… 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 ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… 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 ... in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… more
- University of Miami (Miami, FL)
- …System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- CVS Health (Charleston, WV)
- …* Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Certified Case Manager (CCM) certification * ... the region, in one of the following counties: The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years experience ... **Job Description** **RN/ Case Manager MSH Case ...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case… more
- Dignity Health (Long Beach, CA)
- …conferences when appropriate, discharge planning activities, and coordination with the multidisciplinary team/ Utilization Review Case Manager for ... general guidance of the Director of Rehabilitation Services and Therapy Manager ; the Physical Therapist administers patient evaluations, plans and implements patient… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
- ChenMed (Hampton, VA)
- … management, utilization review and discharge planning. The Case Manager will adhere to strict departmental goals/objectives, standards of performance, ... people to join our team. ESSENTIAL JOB FUNCTIONS: The Case Manager will enhance the quality of...etc. + Minimum of seven (7) plus years of utilization review / case management. + Minimum… more
- Sharp HealthCare (San Diego, CA)
- … Management experience, preferably in a Managed Care setting. + Experience as a case manager or discharge planner interacting with managed care payers. **Other ... be unrestricted. **Essential Functions** + Referral CoordinationEnsures consistent application of the utilization review process for effective utilization of… more
- Helio Health Inc. (Syracuse, NY)
- …track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- Sharp HealthCare (San Diego, CA)
- …members to case management or quality management as appropriate for utilization or quality issues while maintaining department processes in compliance with the ... necessity reviews and authorizes medical services that meet medical criteria. The review of care is region specific and consists of outpatient healthcare services… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case ...required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:**… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230024/ case - manager -%28rn-%29 ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229421/ case - manager -%28rn%29 ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...a related field. At least one year experience in case management, discharge planning or nursing management; + CCM… more
