• RestoraCare Staffing (Houston, TX)
    …Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or ... required within two (2) years of hire into the Case Manager position. Experience / Knowledge /...and PC skills Current working knowledge of discharge planning, utilization management , case management more
    JobGet (04/25/24)
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  • UT Health Tyler (Tyler, TX)
    …one another with respect. Responsibilities The Manager of Case Management has overall responsibility for hospital utilization management , transition ... Overview Join our team as a full-time Manager of Case Management ...operational management of the Case Management Department to promote effective utilization of… more
    JobGet (05/21/24)
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  • ChristianaCare (Wilmington, DE)
    … Certification (CCM) required within 18 months of eligibility. Complete 8 continuing education credits (CEU) per year in Utilization and/or Case Management ... RN Case Manager Weekend Incentive Program (WIP)...Social Worker resolve psycho-social barriers and support discharge needs. Utilization Management reviews patient status for appropriateness… more
    JobGet (05/22/24)
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  • University of New Mexico - Hospitals (Algodones, NM)
    …Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: ... This is a Utilization Review position. We review all admissions and...Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures… more
    JobGet (05/22/24)
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  • University of New Mexico - Hospitals (Algodones, NM)
    …- Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including ... to base pay. Sign-on Bonus and Relocation Reimbursement available!Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible… more
    JobGet (05/22/24)
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  • UNC Health (Chapel Hill, NC)
    …effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be highly ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain… more
    JobGet (05/22/24)
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  • Sentara Health (Virginia Beach, VA)
    …Qualifications: Active VA RN or Compact License ASN, BSN, or MSN 3 years case management experience Benefits: Sentara offers an attractive array of full-time ... Sentara Medical Group is now hiring an Integrated Care Manager ! **THIS POSTION WILL COVER PRACTICES IN CHESAPEAKE, VA...the communities that we serve! Keywords: RN, Registered Nurse, Case Management , Care Management , Monster,… more
    JobGet (05/23/24)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    Department: Utilization Management FTE: 1.00 Full Time (30 - 40 hours per week) Shift: Days Position Summary: Function as a department educator, master teacher, ... master preceptor for Case Management for both RN And SW...* COLLABORATE - Collaborate with Unit Director, Social Work Manager , and RN Supervisors to plan and implement pertinent… more
    JobGet (05/22/24)
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  • ChristianaCare (Avondale, PA)
    …Care Management Triad Team Model is a collaboration between the following: RN Case Manager - manage patient care and drive patient progression and establish ... plan. Social Worker resolve psycho-social barriers and supports discharge needs. Utilization Management review patient status for appropriateness and anticipated… more
    JobGet (05/22/24)
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  • Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… more
    Prime Healthcare (04/05/24)
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  • Utilization Management Case

    Universal Health Services (Dearborn, MI)
    Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
    Universal Health Services (05/22/24)
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  • Case Management Manager

    Prime Healthcare (Montclair, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of the Case Management more
    Prime Healthcare (05/17/24)
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  • Case Management Manager

    Prime Healthcare (Chino, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162220/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is… more
    Prime Healthcare (05/16/24)
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  • Case Manager RN - Smrmc…

    Prime Healthcare (Reno, NV)
    … Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161653/ case - manager -rn smrmc- utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (05/11/24)
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  • Utilization / Case Manager RN

    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 ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case more
    Mountains Community Hospital (03/27/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/19/24)
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  • RN Case Manager , weekend only,…

    Children's Hospital Boston (Boston, MA)
    …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. + Working 16 hours every Saturday and Sunday 8AM-4:30PM . ... 72065BRJob Posting Title:RN Case Manager , weekend only, on-site (16...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/05/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (05/10/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager more
    LA Care Health Plan (05/23/24)
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  • Utilization Manager UM II - Transfer…

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (03/30/24)
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