- Beth Israel Lahey Health (Burlington, MA)
- …Diem **Scheduled Hours:** 0 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Per Diem, ... needed or directed to meet the needs of the department . **Minimum Qualifications:** Education : * Registered Nurse,...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… 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 third party payers. Monitors and audits medical record… more
- Universal Health Services (Auburn Hills, MI)
- …chart reviews, and provides coverage for UM department in the absence of the Manager . Lead Utilization Management (UM) Case Manager duties include ... join our team of compassionate, dedicated professionals. The Lead Utilization Management (UM) Case Manager ...and chart reviews as needed. Provides coverage for the department in the absence of the UM Manager… 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 ... as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice,...build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize… more
- Prime Healthcare (Weslaco, TX)
- …record for the medical necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and Work Experience Required ... #hiringrns #patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse- case - manager utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization ... necessity, intensity of service and severity of illness. Qualifications Education and Work Experience + Starting April 1 2015....Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization ... services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates...the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of… 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 ... **Facility:** Corporate Offices **City** San Diego ** Department ** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California… 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 ... third party payors. + Maintains appropriate records of the Utilization Review Department . + Performs related duties,...is on-site and NOT a remote position.* Requirements + Education : Clinical degree such as nursing, social work, psychology,… more
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/ case - manager -%28rn%29 utilization ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- Trinity Health (Fresno, CA)
- …at 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...in an acute care medical center is required. 3. Utilization review, discharge planning or case management… more
- Beth Israel Lahey Health (Beverly, MA)
- …patients, families, insurers and continuing care agencies while adhering to patients' rights. Case manager nurses and Utilization review nurses communicate ... Hours:** 40 **Work Shift:** Day (United States of America) Case Manager RN **Job Description:** ** Case...assistance with high-risk discharges + A nurse who performs utilization review by application of Medical Necessity Guidelines currently… more
- LifePoint Health (Rutherfordton, NC)
- …to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use ... through the appeals process; including RAC chart audit reviews. Emergency Department ( ED ) Case...more appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible… more
- Beth Israel Lahey Health (Plymouth, MA)
- …States of America) 30 HPW, 10-hr day shifts **Job Description:** **Position Summary:** The Emergency Department Case Manager is responsible and ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist... utilization management and discharge planning experience + ED nursing and/or case management **Knowledge, Skills,… more
- Cedars-Sinai (Marina Del Rey, CA)
- …and support our community with the highest quality healthcare! **Position Summary:** As an RN Case Manager ( ED Services), you will be responsible for the ... Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review. + Reviews care and treatment for appropriateness...experience, Strongly preferred **Working Title:** RN Case Manager - Full time - ED Services… more
- Providence (Napa, CA)
- …and their families throughout the continuum of care. The RN Case Manager assists patients in the utilization of appropriate health care services. Position ... **Description** The RN Case Manager is responsible for carrying...Schedule:** Full time **Job Shift:** Day **Career Track:** Nursing ** Department :** 7810 UTILIZATION REVIEW **Address:** CA Napa… more
- Community Health Network (Anderson, IN)
- Case Manager - Licensed MSW- ED - Anderson Job Ref 2400288 Category Nursing Job Family Case Manager Department Case Management Schedule ... appropriate utilization of health care services. The Case Manager is responsible for supporting the...nursing department personnel. - Collaborates with nurse case manager regarding discharge planning and use… 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