- Ascension (Hanover, MD)
- …including but not limited to: Access Authorization and pre-certification, utilization review and denial management, CareCoordination, Collaborative treatment ... as content specialist for staff in the areas of utilization criteria, appeal and review process, and...Manager , Post Acute Services at Ascension Saint Agnes Hospital is responsible for overseeing the integration and management… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Minimally Invasive GYN and Minimally Invasive Surgery. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with 24-hour ... accountability for care delivery including budget of a nursing unit(s). The Nurse Manager must be able to navigate proficiently within the EHR. He/She must be able… more
- CSL Behring (Fields, OR)
- Job DescriptionPosition Location: Mid-West - Cincinnati, OH The Area Manager is responsible for promotion and utilization of CSL Behring products and for ... managing all aspects of territory business development. Area Manager will cultivate and maintain relationships with key customers to include: Health Care… more
- ICONMA (Kentfield, CA)
- Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience ... EPIC EMR documentation experience Active CA RN License Shift Information: Day shift (0800-1630), Monday thru Friday Minimum Years of Experience: 2 Certifications/Requirements: BLS/BCLS more
- ICONMA (Sitka, AK)
- …provide a full range of sample test analyses and laboratory services in a hospital -based laboratory. Shift work and night and weekend call are required to provide 24 ... of responsibility using the CLSI format, and coordinates procedure manual review , updates and distribution. Establishes a quality control program appropriate for… more
- Arthrex (Naples, FL)
- …Spending Account (FSA)Supplemental Insurance Plans (Accident, Cancer, Hospital , Critical Illness)Matching 401(k) Retirement PlanAnnual BonusWellness Incentive ... our Logistics Center in Naples, FL. This person will work with the Manager of Service Sales, fellow Service Contracts Coordinators, Customer Service Contracts Team,… more
- Hartford HealthCare (Torrington, CT)
- …**Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital * **Title:** * Utilization Review Social Work Care Manager (LCSW) ... of the Inpatient Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP… more
- Rush University Medical Center (Chicago, IL)
- …patient selection and creation of patient-tracking Excel documents. * Conducts a regular review with the Clinical Quality Program Manager of clinical registries' ... **Job Description** **Location:** Chicago, IL ** Hospital :** RUSH University Medical Center **Department:** System Center...(9:00:00 AM - 5:00:00 PM) **Summary:** The Surgical Clinical Reviewer 's chief responsibility is to oversee and optimize the… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …discharge for appropriate status determination. 2. Ensures compliance with principles of utilization review , hospital policies and external regulatory ... 1. Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with... Hospital and the Nursing Department. + Performs utilization review in accordance with all regulations,… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …discharge for appropriate status determination. + Ensures compliance with principles of utilization review , hospital policies and external regulatory ... Duties: + Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted… more
- Trinity Health (Silver Spring, MD)
- …the activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies ... Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment...in an acute healthcare setting. + Designation Changes and Utilization Review + Knowledge of pertinent regulatory,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review ** , responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including: + Staff schedules to ensure appropriate department coverage, equitable… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review Full Time Days - 2406003414 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves ... hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital , Harper...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic ... - 44.18 Under the direction of department leadership, the Utilization Review / Management RN. This position is...Priority 5: Escalation Refers cases that require second level review to Physician Advisor, Manager , and Director… more
- Hackensack Meridian Health (Hackensack, NJ)
- …patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, ... **Overview** The Senior Utilization Review Specialist collaborates with the...vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the day ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Prime Healthcare (Lynwood, CA)
- …licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157925/case- manager -rn%2c-- utilization - review ... 700,000 adults and 300,000 children who count on the hospital for high quality and compassionate medical care. St....to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
