- Medical Solutions (Marietta, GA)
- …to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical ... Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description &… more
- Merck & Co. (Durham, NC)
- …finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and ... culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply -… more
- Merck & Co. (Ames, IA)
- …orders based on optimal resource allocation, availability, and constraint management .Place production orders for production departments as required by forecast ... material master system planning parameters.Supply ChainManage, level load and report capacity utilization for months 1-12 as well as to interact with Global Supply… more
- Integrated Resources, Inc (Riverside, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred. . Refers...quality, risk and/or patient safety which are identified during case review or other activities. . Reviews,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... Licensed to practice as an RN in Georgia. CCM ( Case Management Certification) or ACM (American ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with the physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... an accredited school of nursing. Eligibility requirements for certification: 12 months full-time case management experience supervised by a certified case … more
- RestoraCare Staffing (Houston, TX)
- …Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or ... management and PC skills Current working knowledge of discharge planning, utilization management , case management , performance improvement, disease… more
- Cambia Health Solutions, Inc (Renton, WA)
- …peer clinical review for medical necessity on utilization management authorization requests.Provides clinical input on case management reviews ... and may participate on committees that develop programs impacting clinical interventions, utilization management and case management .Analyzes and… more
- Southeast Georgia Health System (Brunswick, GA)
- …to convey same to physicians/office staff. Assists the Manager with validating that utilization review processes are conducted as outlined in the Utilization ... to our culture of Service Excellence. As a Resource Management Coordinator, you will conduct medical record reviews of...and PTO requests as approved by department Manager; Assists Case Managers in obtaining DME; Scans paper documentation into… more
- Cambia Health Solutions, Inc (Boise, ID)
- … review and allowable determination (misc. J codes, providers on review , reconsiderations).Supports wellness and disease state management programs for ... to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, and government programs personnel… more
- Signet Health (Clinton, MD)
- …and Coordination with providers and State agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review ... following: Triaging, assessing and managing members referred for Behavioral Health Case management . Tracking and management of members identified as needing… more
- Signet Health (Clinton, MD)
- …and Coordination with providers and State agencies regarding Case management members Collaboration with Community Support Programs Utilization Review ... following: Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified as needing… more
- Adventist Health (Portland, OR)
- …care by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, ... Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required Case management certification: Preferred Basic Life Support (BLS OR… more
- Holistic Medical Services and Counseling (Charleston, WV)
- …community resources and services, facilitating client referrals; Participating in staff conferences, case record and utilization review meetings; Assisting ... skills using EBP Excellent writing/documentation skills; Organizational and time management skills Familiarity with electronic health records; Possess proficiency… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) ... Apply Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Salary $119,061.54 - $151,803.47 Annually Location Ventura, CA Job… more
- Actalent (Edmond, OK)
- …Skills: Acute care, acute, nurse, clinical, healthcare, Case management , Utilization management , Utilization review , Insurance Top Skills ... areas: case management , . * 5 years experience in case management , utilization Review Experience Level: Intermediate Level About Actalent… more
- Virtua Health (Pennsauken, NJ)
- …processes and maintains required documentation and reports such as productivity/ utilization , medical records, customer surveys, audits, financial reports, staff ... certifications/licenses.* Schedules management appointments, meetings, conferences. Prepares meeting minutes and memos. May maintain calendars/itinerary for … more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- HCA Healthcare (Largo, FL)
- …care and cost effectiveness through the integration of case management and utilization review management . We are an amazing team that works hard to ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a… more
