- LifePoint Health (Rutherfordton, NC)
- …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... Rutherford Regional is dedicated to providing patients with a full range of services to meet their healthcare needs....appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- UT Health (Houston, TX)
- Clinician I/II, Intensive Case Manager - UTHealth Houston Behavioral Sciences Campus **Location:** Houston, Texas **Hot** **Category:** Clinical Professionals ... etc.), plus: + 100% paid medical premiums for our full -time employees + Generous time off (holidays, preventative leave...(IOP), and Partial Hospitalization (PHP)** **Programs** . The Intensive Case Manager will play a critical role… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Introduction** Do you have the career opportunities as a PRN Case Manager Nurse you want in your current role? We invest in what matters most ... and Qualifications** We are seeking a PRN Registered Nurse Case Manager to ensure that we continue...+ Minimum of three years medical/surgical/critical care experience required. Case Management/ UR experience preferred. + Must… more
- Alameda Health System (Alameda, CA)
- AHD Case Manager RN + Alameda, CA...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents ... + Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req...+ Posted:March 27, 2024 **Summary** **Role Overview:** The AHD Case Manager (RN) is responsible for providing… more
- WMCHealth (Kingston, NY)
- Case Manager - RN Company: HealthAlliance...Case Management Union: Yes Union Name: NYSNA Position: Full Time Hours: m-f Shift: Day Req #: 38486 ... years hospital based. Knowledge of medical/surgical cases. One (l) year QA/ UR or Case Management preferred. Current knowledge of Federal and State regulations.… more
- Sutter Health (San Mateo, CA)
- …interdisciplinary team to assure timely discharge. * Maintains an average Utilization Review ( UR ) accuracy rate at or above the goal. * Utilizes InterQual criteria ... initial screening on all hospitalized patients upon admission to identify case management needs. * Performs, documents and communicates assessment findings to… more
- Milford Regional Medical Center (Milford, MA)
- …of Purpose: In collaboration with other members of the healthcare team, the Case Manager is accountable for coordinating and facilitating the management of ... Milford Regional Medical Center is a full -service, community and regional teaching hospital located in...care for an assigned group of patients. The Case Manager ensures the provision of a… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: The Senior Psychiatric Case Manager position is based in Pediatric Behavioral Health & Wellness: Brighter Days Urgent Care which is a part of ... services of the Department of Psychiatry located at the UR Medical Center. The new Urgent Care service provides:...up to 6-session model of care. The Senior Psychiatric Case Manager will support the Urgent Care… more
- University of Rochester (Rochester, NY)
- …complex decisions independently. Seeks assistance from FCM II, Operations Supervisor or Manager . Responsible to prioritize, monitor and resolve caseload in a timely ... and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings (30%) essential. 2. _Referral Coordination:_ Responsible… more
- Sharp HealthCare (San Diego, CA)
- …Start Time** **Shift End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...management process.Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in… more
- Billings Clinic (Billings, MT)
- …competency in all organizational, departmental, and outside agency requirements. *The responsibilities of the UR case manager are listed below, in order of ... medical necessity for inpatient level of care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and barriers to discharge on… more
- University of Rochester (Rochester, NY)
- …ultimate responsibility of the Principal Investigator (PI) and/or Clinical Research Manager , the CRC III will manage multiple studies? day-to-day operations, carry ... schedules appointments and study visits. + Manages and organizes case report forms, source documents and research records. +...entry and research tabs in the EMR, according to UR and department SOPs. **Assists in training less experienced… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm + **Hospital:** Ascension St Vincent + **Location:** Remote Must have ... minimum of 3-5 years in UR experience as well as 2+ years of leadership...areas of utilization criteria, appeal and review process, and case management system documentation. + Conduct hiring, training, directing,… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... resource utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of… more
- Milford Regional Medical Center (Milford, MA)
- …will also manage the denial and appeal process under the guidance of the UR Manager . Qualifications: Education: Bachelor of Science in Nursing required Masters ... in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred Experience: Minimum of 5 years… more
- Western Washington University (Bellingham, WA)
- …Work type: Permanent Full Time Location: Bellingham, ... the potential of learners and the well-being of communities, University Residences ( UR ) works towards our vision and mission: Vision: Students living in University… more
- Trinity Health (Maywood, IL)
- …grow your career and make a lasting impact. Under the direction of the Director/ Manager oversees the daily caseloads of the UR /UM teams. This includes ... **Employment Type:** Full time **Shift:** **Description:** This position is located...are highly desired as well as experience with inpatient UR and/or outpatient referral authorizations. **Great opportunity for a… more
- University of Rochester (Rochester, NY)
- …collaboration; and follow-up with patients; families; third-party payers; financial case management; and utilization management. The Price Estimation Analyst will ... systems. **Supervision and Direction Exercised** With general direction of the Supervisor/ Manager and with latitude for Initiative and judgment The Price Estimation… more
- Acacia Network (New York, NY)
- Behavioral Health (Greenhope Services for Women) Admission Outreach Manager New York, NY : 2/1/2024 Job Description Job ID#: 3757 Job Category: Behavioral Health ... (Greenhope Services for Women) Position Type: Full Time Details: POSITION OVERVIEW: Provide full ...passionate, professional, transparent and responsible. The admissions and outreach manager must have excellent customer service skills and able… more
- University of Rochester (Rochester, NY)
- …advisement on academic policies for a diverse caseload of students; serves as case manager for students requiring coordination from other College and/or ... transfer to functional leads and other staff from the UR Student project, and liaises with UR ...+ Sign In + New User **Location:** Sch Engineering & App Sci ** Full /Part Time:** Full -Time **Opening:**… more