- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other...documents the review . Refers cases for second level reviews when medical… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** :… more
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review / Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days every ... the District of Columbia required 2-3 years of recent acute care experience Case Management Certification preferred Nursing at GWUH: Nurses at GWUH identify as… 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 ... the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Trinity Health (Fresno, CA)
- …the time patients access the hospital in the emergency room. The case manager is responsible for utilization review , collaboration with physicians to ... time **Shift:** Rotating Shift **Description:** Reporting to the Lead Case Manager Emergency, Case Management,...in an acute care medical center is required. 3. Utilization review , discharge planning or case… more
- Henry Ford Health System (Detroit, MI)
- …+ Innovative Team Structure: Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, designed to let you ... **NEWLY ENHANCED PAY RATES** RN Case Manager - Emergency Department Work Schedule: Three 12-hour shifts (7am to 7pm) Location: Detroit Are you ready for an… more
- Henry Ford Health System (Detroit, MI)
- …equipment. + Innovative Team Structure:Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to ... and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager ! Who We're Looking For: Passionate, compassionate, and dedicated individuals who… more
- Baptist Memorial (Memphis, TN)
- …program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt Administration ... with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred-RN with 7 years of clinical experience… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Arnot Health (Elmira, NY)
- …to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all ... Palmer, Sylvester and UHealth Tower. This position analyzes and distributes daily Case Manager assignments, coordination of monthly schedules, daily report… more
- UNC Health Care (Raleigh, NC)
- …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- Prime Healthcare (Chino, CA)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162220/ case -management- manager utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino… more
- Prime Healthcare (Montclair, CA)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/ case -management- manager utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… 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
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... collecting and recording all information and data needed for utilization review as requested and required by...necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...related field or at least one year experience in case management, discharge planning or nursing management; + CCM… more
