- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161307/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …and leaders who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary ... that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** :… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review / Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days every ... the District of Columbia required 2-3 years of recent acute care experience Case Management Certification preferred Nursing at GWUH: Nurses at GWUH identify as… more
- Hackensack Meridian Health (Brick, NJ)
- …coordinates treatment, discharge planning, and communication between team members. The Case Manager assists with Utilization Review work by involving the ... the interdisciplinary team, and a skilled Registered Nurse, the Case Manager is involved in the processes...patients' plans of care + Actively participates in the Utilization Review process as a measure of… more
- Trinity Health (Fresno, CA)
- …the time patients access the hospital in the emergency room. The case manager is responsible for utilization review , collaboration with physicians to ... time **Shift:** Rotating Shift **Description:** Reporting to the Lead Case Manager Emergency, Case Management,...in an acute care medical center is required. 3. Utilization review , discharge planning or case… more
- Hackensack Meridian Health (Hackensack, NJ)
- … management processes. + Develops the performance enhancement plan of the case manager , documents performance provides performance feedback, evaluates the work ... transfer from acute to post acute care. + Develops the performance improvement plan for the case manager , based on audits of the particular case manager .… more
- Dignity Health (San Bernardino, CA)
- …requirements specific to Utilization Review and Discharge Planning. The Case Manager partners with the medical staff, utilizes scientific evidence for ... and excellence). Primary elements of the case manager role include: Care Coordination, Utilization Review and Discharge Planning. This position requires… more
- Arnot Health (Elmira, NY)
- …to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all ... Palmer, Sylvester and UHealth Tower. This position analyzes and distributes daily Case Manager assignments, coordination of monthly schedules, daily report… more
- Beth Israel Lahey Health (Burlington, MA)
- …0 **Work Shift:** Rotating (United States of America) The inpatient Case Manager assigned by nursing unit coordinates utilization review , discharge ... **Essential Duties & Responsibilities including but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies… more
- Universal Health Services (Palmdale, CA)
- …The RN Case Manager is knowledgeable about and responsible for utilization review , discharge planning and case management of Palmdale Regional ... works under the guidance of the Director of Case Management. The RN Case Manager...acute care clinical experience. Minimum of two years clinical case management or utilization review … more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- UNC Health Care (Raleigh, NC)
- …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… 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 ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- Sharp HealthCare (San Diego, CA)
- …members to case management or quality management as appropriate for utilization or quality issues while maintaining department processes in compliance with the ... necessity reviews and authorizes medical services that meet medical criteria. The review of care is region specific and consists of outpatient healthcare services… 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 by ... collecting and recording all information and data needed for utilization review as requested and required by...necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case… more