• Recovery Audit Nurse

    UNC Health Care (Rocky Mount, NC)
    …setting + 1 year of HealthCare/Medical - Case Manager in Case Management , UR , Hospital Billing, Compliance, Charge Capture or equiv. combo ... primary focus on managed-care and commercial payers (will work closely with Case Management / Utilization Review staff), and 3) reviews and appeals for hospital… more
    UNC Health Care (04/16/24)
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  • RN - CHHA Case Manager - Starting…

    UR Medicine Home Care (Rochester, NY)
    …work 2 Holidays a year + Flexible schedule Provides direct patient care and/or case management within a patient and family centered care environment. Caseload ... looking to have a positive effect on our community, UR Medicine Home Care currently has the ideal opportunity...pay is $45.00 an hour! Advantages to working at UR Medicine Home Care: + Day Shift, Monday -… more
    UR Medicine Home Care (04/17/24)
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  • ED RN Case Manager - UR

    Beth Israel Lahey Health (Plymouth, MA)
    …HPW, 10-hr day shifts **Job Description:** **Position Summary:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients... and discharge planning experience + ED nursing and/or case management **Knowledge, Skills, and Abilities:** +… more
    Beth Israel Lahey Health (02/23/24)
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  • Case Manager I/ UR

    Dignity Health (Stockton, CA)
    …Dependency setting is preferred + Background and experience in the application of Case management Theory Methodology + Bachelors degree in an Allied Health ... field such as psychology counseling social work **Pay Range** $18.59 - $20.40 /hour We are an equal opportunity/affirmative action employer. more
    Dignity Health (03/21/24)
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  • RN - Clinical Team Manager - $15,000 Sign…

    UR Medicine Home Care (Rochester, NY)
    …growth of the agency. + Takes an active role in collaborating with admissions and case management staff on all team-based patients from referral to discharge via ... UR MEDICINE HOME CARE TEAM! Clinical Team Manager - Eligible for a $15,000 Sign On Bonus...Experience: + Home Care experience preferred + Expertise in case management of high-risk populations, case more
    UR Medicine Home Care (03/20/24)
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  • Csmc 8750000 Utilization Management

    Cedars-Sinai (Los Angeles, CA)
    …at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as ... estimation of the patient's expected length of stay. The UR Case Manager secures authorization...ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager more
    Cedars-Sinai (03/10/24)
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  • RN Case Manager

    Covenant Health (Nashua, NH)
    …at the request of the VP MA / CMO and/or Director of Care Coordination or Manager Care Coordination/ Case Management + Other duties as consistent with this ... care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates...management /utilization review programs to maintain current knowledge of UR practices. + Acts as a role model for… more
    Covenant Health (03/15/24)
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  • Nurse Case Manager - $10, 000…

    Covenant Health (Lewiston, ME)
    Job Title: RN Case Manager Department: Case Management 81810 Reports To: Director of Care Coordination FLSA Status: Exempt $10,000 Signing bonus to New ... care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates...management /utilization review programs to maintain current knowledge of UR practices. Acts as a role model for other… more
    Covenant Health (02/14/24)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    Case Management /Social Services* **Organization:** ** **Title:** *Clinical Case Manager * **Location:** *NC-Rutherfordton* **Requisition ID:** *7462-8462* ... case managed population. Educates Physicians and staff in Case Management standards and assists them in...hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process,… more
    LifePoint Health (04/16/24)
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  • Case Manager

    Ellis Medicine (Schenectady, NY)
    …Home Care experience is highly preferred. Requirements: * Adheres to the Case Management Philosophy and practices of the UR /QA DP and SW policies and ... attending, consultants, and the clinical department timely. Accurately documents UR activity on Case Management ...department timely. Accurately documents UR activity on Case Management Worksheets. Adheres to observation unit… more
    Ellis Medicine (02/27/24)
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  • Case Manager Navigator

    MD Anderson Cancer Center (Houston, TX)
    …students, trainees, professionals, employees and the public. The primary purpose of the Case Manager Navigator is to: Develop an individualized plan of care ... of care to achieve optimal clinical, financial and operational outcomes. The Case Manager Navigator coordinates with the Multidisciplinary Care Team and… more
    MD Anderson Cancer Center (03/30/24)
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  • SLH Case Manager RN, Per Diem, Days,…

    Alameda Health System (San Leandro, CA)
    …SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... SLH Case Manager RN, Per Diem, Days,...service efforts are to provide timely delivery of intensive case management servicesduring the transitional period beginning… more
    Alameda Health System (03/09/24)
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  • RN Case Manager /Social Worker, Per…

    Universal Health Services (Sparks, NV)
    …psychosocial support during their stay in the hospital. Job Duties/Responsibilities: Case Manager : + Performs the care management process to assess, plan and ... delivering clinical care. Learn more at northernnevadahealth.com This RN Case Manager opportuninty is per diem and...indibidual will be responsible for the implementation of the case management process, which is assessment, planning,… more
    Universal Health Services (04/12/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    …AHD Case Manager (RN) is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... AHD Case Manager RN + Alameda, CA...service efforts are to provide timely delivery of intensive case management services during the transitional period… more
    Alameda Health System (03/28/24)
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  • Case Manager II, Acute Psychiatric

    Sutter Health (Berkeley, CA)
    **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... clinical case management to assure that patients are...assure timely discharge. * Maintains an average Utilization Review ( UR ) accuracy rate at or above the goal. *… more
    Sutter Health (04/10/24)
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  • Case Manager

    RWJBarnabas Health (Hamilton, NJ)
    Case Manager Status:Full-Time Shift:Day Facility:RWJ Hamilton Department: Case Management Location: RWJUH Hamilton Hospital, One Hamilton Health ... Case Manager - Hamilton, NJReq #:0000137934 Category:Nurse...of Patient Management . Qualifications: Required: + Prior case management experience + Excellent verbal and… more
    RWJBarnabas Health (04/12/24)
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  • PRN Case Manager RN Weekday…

    HCA Healthcare (Overland Park, KS)
    …Nursing, BSN preferred + Minimum of three years medical/surgical/critical care experience required. Case Management / UR experience preferred. + Must hold a ... **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… more
    HCA Healthcare (04/17/24)
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  • AHD Case Manager RN

    Highland General Hospital (Alameda, CA)
    …AHD Case Manager (RN) is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... service efforts are to provide timely delivery of intensive case management services during the transitional period...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents… more
    Highland General Hospital (03/27/24)
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  • Outcomes Manager - Marlton Case

    Virtua Health (Marlton, NJ)
    …- Appropriate and complete documentation of individual plan of care in EMR and case management documentation system. * Metrics - Accountable to job specific ... Worker. Preferred: 3 years clinical nursing (RN) experience and 1 year UR /CM/QM experience or 3 years experience as Clinical Social Worker. Basic understanding… more
    Virtua Health (03/28/24)
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  • Emergency Department RN Clinical Case

    SUNY Upstate Medical University (Syracuse, NY)
    …in Nursing or healthcare-related field and prior acute care case management experience, knowledge of Interqual Criteria, and/or QI/ UR experience preferred. ... Job Summary: The Emergency Department RN Clinical Case Manager will facilitate transitional care...RN or acute care, transitional care, or chronic care RN/ case management experience OR Associates degree in… more
    SUNY Upstate Medical University (04/17/24)
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