- Fresenius Medical Care (Austin, TX)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... your business, and advanced leadership. - As a Clinical Manager , you may advance your career into an Area...is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in… more
- Fresenius Medical Care (West Springfield, MA)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... your business, and advanced leadership. - As a Clinical Manager , you may advance your career into an Area...is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in… more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- Tower Water (Somerset, NJ)
- Tower Water Management is seeking an experienced Water Treatment Sales Manager to oversee existing territory and manage the sales team in the Northeast Region. This ... our borders. We are seeking an experienced and driven Manager of Sales to join our team. This exciting...to ensure a cohesive approach to customer satisfaction. Regularly Review and Adjust Strategies: Regularly assess the effectiveness of… more
- ChristianaCare (Wilmington, DE)
- RN Case Manager Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p). Wilmington, DEChristiana Care - ... Wilmington Hospital currently recruiting a Weekend RN Case Manager with experience in Transitional Care or Discharge Planning in an Acute Care Hospital SettingAs… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers...and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable… more
- ChristianaCare (Avondale, PA)
- …plan. Social Worker resolve psycho-social barriers and supports discharge needs. Utilization Management review patient status for appropriateness and anticipated ... be paid over a period of 24 months.ChristianaCare Offers Medical , Dental, Vision, Life Insurance, etc. Two retirement planning...Model is a collaboration between the following: RN Case Manager - manage patient care and drive patient progression… more
- Emanate Health (Covina, CA)
- …the United States, and the #19 ranked company in the country. **Job Summary** The Manager Utilization Review / MediCal Specialist will develop and maintain ... of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review / MediCal Specialist will manage the program… more
- Public Consulting Group (Cedar Rapids, IA)
- …+ 2-5 years of experience as a utilization review manager conducting, directing, or leading medical necessity reviews of Medicaid managed care ... **Responsibilities** + Responsible for coordinating program integrity-related reviews with the medical necessity review team responsible for conducting … more
- Beth Israel Lahey Health (Burlington, MA)
- …hospital staffs. -Case Manager experience as well as Utilization Review experience ( review medical necessity and discharge planning) **FLSA Status:** ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse...post acute care Services. 15) Participates in hospital or medical committees representing patient issues and department functions such… 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 ... **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR...Manager FR 48010 Allen 429 1.00 **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical … more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... TMS therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next ... of Saint Agnes Medical Center. The RN Manager of Utilization Management will ensure the...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… more
- Catholic Health (Lewiston, NY)
- …1100-1900/8am - 4pm, 9am - 5pm, 10am - 6pm, 11am - 7pm Summary: The RN Care Manager , Utilization Review / Transitions of Care, as an active member of the Care ... Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...review experience in the role of a Care Manager or Disease Manager , Population Health ,… more
- The Mount Sinai Health System (New York, NY)
- The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… 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 CARE MANAGEMENT ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is...a minimum twice a day. Communicates with attending on medical plan and Case Manager on discharge… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… more
- Milford Regional Medical Center (Milford, MA)
- …to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at ... needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching...year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working… more
- Sharp HealthCare (San Diego, CA)
- …of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and… more
