- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse- case - manager utilization - ... necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and...a related field. At least one year experience in case management , discharge planning or nursing … more
- 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
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related… more
- 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
- Prime Healthcare (Chino, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160166/lead- case - manager -%28rn%29 utilization - management ... Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators… more
- Prime Healthcare (Montclair, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Chino, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160153/ case - manager -%28rn%29-- utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- 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
- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health… more
- Beth Israel Lahey Health (Boston, MA)
- …for the health of patients, families, and communities. The Nurse Case Manager provides utilization management , care coordination and discharge planning ... Case Manager . 2. Previous clinical nursing experience and/or case management experience. Competencies: 1. Decision Making: Ability to make decisions… more
- 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 (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
- 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
- Trinity Health (Fresno, CA)
- …services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of ... , leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement...utilization review, discharge planning and support case management and the psychosocial services to… more
- 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
- Penn Medicine (Philadelphia, PA)
- …critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, ... fearful you will miss patient contact?If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management… more
- 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
- LifePoint Health (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. *Essential Functions* 1. Case Manager independently performs initial and ongoing discharge… more
- Actalent (Santa Barbara, CA)
- …unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical Reviews Experience level: ... Description: + REMOTE + RN with experience in providing Case Management services to the Pediatric population....alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar… more
- LifePoint Health (Henderson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The job ... Licensure: Current/Active North Carolina or Compact Registered Nurse (RN) License * Case Management Certification is preferred *Required Skills* - Ability… more