- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing ... criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward… 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 ... inclusion, and provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester and Mayo… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to work at ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with...for services requiring prior authorization as well as timely concurrent review for continuation of care services… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process...review process. + Conducts admission reviews. + Conducts concurrent and extended stay reviews. + Prepares and submits… more
- Ellis Medicine (Schenectady, NY)
- …on first working day post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment. Make all contact with ... the anticipation, identification, and resolution of issues through pre-admission, admission, concurrent and post discharge medical record review 3. Services… more
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization- review ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization- review ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- NJM Insurance (Trenton, NJ)
- …candidate is results-oriented and will perform all aspects of utilization management: case management intervention, precertification, concurrent review , and ... NJM Insurance Group currently has an RN Case Manager opportunity to assure that...an accredited school of nursing. + Experience with Utilization Review /Hospital Concurrent Review (monitoring hospital/rehab… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- HCA Healthcare (Las Vegas, NV)
- …nurses at Sunrise Hospital have the opportunity to make a real impact. As a(an) Case Manager you can be a part of change. **Benefits** Sunrise Hospital, offers ... improve positive outcomes for your patients as a (an) Case Manager . We want your knowledge and...compiled by hospital medical records for the purpose of admission/ concurrent review for Medicare and self-pay patients… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Master's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing… more
- ChenMed (Philadelphia, PA)
- …rapidly expanding and we need great people to join our team. The RN Case Manager is responsible for achieving positive patient outcomes and managing quality ... facilities, as well as, their home environments. The RN Case Manager role also involves establishing relationships...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… more
- ChenMed (Morrow, GA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… more
- Healthfirst (NY)
- …Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as ... case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of… more
- Stanford Health Care (Palo Alto, CA)
- …Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with a unique and supportive ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- 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 ... in UR standards and LOS topics. Insures effective Utilization Review Process.1. Performs admission and concurrent medical...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager FT Days Sign on...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is ... stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care...assessment and referral to Social Work services and/or Complex Case Review . May delegate the implementation of… more
- Sharp HealthCare (San Diego, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... of Registered Nursing -REQUIRED **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager … more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... case management experience + 3 Years recent case management, utilization review , care coordination experience...**Preferred Qualifications** + Master's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...not intended to provide direct patient care; rather, a Case Manager will be assigned to specific… more