- Beth Israel Lahey Health (Milton, MA)
- …Type:** Per Diem **Scheduled Hours:** 0 **Work Shift:** Day (United States of America) CASE MANAGER UTILIZATION SPECIALIST (RN) **Job Description:** ... CASE MANAGER UTILIZATION SPECIALIST (RN) **FLSA Status:** Exempt **As a health care organization, we have a responsibility to do everything in our power… more
- Munson Healthcare (Traverse City, MI)
- …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... clinical status and progression of care. + Consults with case manager and/or physician advisor as necessary...+ Minimum of three years clinical experience required. Previous utilization review and/or case management in a… more
- BayCare Health System (Cotton Plant, AR)
- …RN (Registered Nurse) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...Utilization Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse in… more
- LA Care Health Plan (Los Angeles, CA)
- …a clean record and Auto Insurance Required Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- Cleveland Clinic (Cleveland, OH)
- …with authorizations for hospital stays, monitoring LOS and helping coordinate care with the Case Manager and providers to ensure the best patient outcomes. Under ... most respected healthcare organizations in the world. As a Utilization Management (UM) Registered Nurse (RN) Reviewer NE PRN,...the general supervision of the UM Team Manager , you will perform UM activities, such as admission,… more
- Dignity Health (San Bernardino, CA)
- …https://www.dignityhealth.org/socal/locations/san-bernardino for more information. **Responsibilities** The Clinical Document Specialist - Case Manager is ... to Utilization Review and Discharge Planning. The Case Manager partners with the medical staff,...and excellence). Primary elements of the case manager role include: Care Coordination, Utilization Review… more
- Catholic Charities Family Community Services (Rochester, NY)
- …day of admission. + Support Intake Manager and work collaboratively with Financial Case Manager to verify and ensure insurance and other services are active ... **RESTART Intake & Case Management Specialist ** **Job Details** **Job...referral coordination services to residential clients. Coordinates with Intake Manager regarding bed utilization . Effectively supports ongoing… more
- Ascension Health (Indianapolis, IN)
- …process. + Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + ... **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm + **Hospital:** Ascension St Vincent + **Location:** Remote Must have… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall...(RN-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care to family ... the Psychological Health Transition to Care Initiative in the Case Management/ Utilization Management Division at Naval Hospital...between 7AM - 6PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + P articipate in… more
- The Arora Group (Goose Creek, SC)
- Registered Nurse Case Manager - Lead Nurse Currently recruiting a Registered Nurse Case Manager - Lead to work in the Medical Home Port Clinic at Naval ... military heroes, their family members, and retirees. The RN Case Manager position is full-time, Mon-Fri days,...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case … more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager in Coronado, California, to work at Coronado Naval Base, ... between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + Perform a full...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case … more
- The Arora Group (Mayport, FL)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Mayport, Florida to provide care to active duty American ... Port at Naval Branch Health Clinic Mayport. Registered Nurse Case Manager is full-time position, 80 hrs/2...databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case … more
- ERP International (Hill AFB, UT)
- **Overview** ERP International is seeking a **Registered Nurse - Case Manager (RN)** for a full-time position supportingHill AFB, UT ... and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case ...: Possess one of the following: + Commission for Case Manager Certification Certified Case … more
- Amergis (San Francisco, CA)
- Travel RN Case Manager (San Francisco, CA) $2550/wk RN - Case Manager San Francisco, CA 94106 $2,550 weekly (travel) $55.00 hourly (local) 8:00 AM - 4:30 ... + Overtime Rate = $82.50 per hour The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- BriteLife Recovery (West Kill, NY)
- CASE MANAGER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... Recovery a rewarding place to work. What you will be doing? The Case Manager is responsible for providing confidential addiction guidance, education and… more
- Peckham, Inc. (Phoenix, AZ)
- …Inc. - Vocational Services Specialist SUMMARY The Vocational Services Specialist provides crisis management, vocational services, case management, and human ... employment and providing applicable community resource referrals. The Vocational Services Specialist also provides consultation to Peckham staff to maximize the… more
- Health First (Rockledge, FL)
- …*Certification:* Case Manager Certification (CCM or ACM). *Work Experience:* Case management experience with knowledge of utilization management and ... *POSITION SUMMARY:* The Transfer Access RN Case Manager provides clinical expertise, medical...identifying the appropriate receiving campus, and conferencing physicians for specialist acceptance. 7. Identifies appropriate levels of care for… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: Nurse Case Manager who is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum ... utilization of resources, service delivery and compliance with medical...managed care delivery system. Essential Job Functions: + Assist Case Manager Director with MBR's HRA outreach… more
- WestCare Foundation (Newport, TN)
- Case Manager Job Details Job Location Newport - 219 East Broadway - Newport, TN Salary Range $19.23 - $19.23 Hourly Description Position Summary: The Case ... and their families in suicide prevention, awareness, and community resource linkage. The Case Manager position will have designated counties from the following… more