- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... 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
- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...+ Minimum 2 years of precertification experience + Certified Case Manager , preferred + 3-5 years of… more
- Dartmouth Health (White River Junction, VT)
- Utilization Review Case Manager – Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for ... one 4-hour flex shift to be discussed with hiring manager . Locations: * Fully remote work in all statesexcept:...that enrich the lives of the people we serve. Utilization Review Case Managersat VNH… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... two years of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Office/Site Location:BostonRegular,… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209331/ case - manager %2c-rn utilization - review ... 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
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Penn Medicine (Philadelphia, PA)
- …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + ... Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third party payors. We believe that the best… more
- Ochsner Health (New Orleans, LA)
- …license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional ... in the delivery of patient care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse… more
- Baptist Memorial (Columbus, MS)
- …+ Healthcare/Medical- Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred. Education Minimum Required + Graduate of School ... to complete an initial review . Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed… more
- Mohawk Valley Health System (Utica, NY)
- …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …to the managed care plan. * The case manager provides center case management/ utilization review and discharge planning to assure that the patient ... Lives!** Diversicare Healthcare Services is seeking an outstanding RN Case Manager that has a passion for...is preferred + Minimum of two (2) years of case management/ utilization review experience +… more
- HCA Healthcare (Derry, NH)
- …and Qualifications** The Case Manager 's primary duties are to provide Utilization Review and Case Management functions for the organizationunder the ... you have the PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you want...you to apply for our RN Case Manager Registered Nurse PRN opening. We review … 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 ... Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- Nuvance Health (Sharon, CT)
- …health to the patient. Responsibilities for this full time RN Case Manager position includes include utilization review , discharge planning and care ... license, Bachelors Degree in Nursing or related field, a minimum of 1 year Case Management experience in an acute care setting. CCM, PRI and Screen certifications… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... 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
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...coordinate care and address clinical documentation needs for accurate case review and status determination. + Oversee… more
- HCA Healthcare (Richmond, VA)
- …Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, you come ... make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management...in evaluating medical necessity. + Performs admission and concurrent review for all payors and maintains legible documentation as… more
- LifePoint Health (Gallatin, TN)
- …management or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** ... Monitors adherence to the hospital's utilization review plan to ensure appropriate...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree or RN… more
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/ case - manager -%28rn%29 utilization ... 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