- Marion County (Salem, OR)
- …& Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To create a ... to the following Program Development & ManagementProvide program development and management /oversight of a diverse group of programs and teams. Program oversight… more
- RestoraCare Staffing (Houston, TX)
- …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years...and PC skills Current working knowledge of discharge planning, utilization management , case management , performance… more
- The Judge Group Offshore Travel (Long Branch, NJ)
- …yrs experience required Case Manager will be focused on criteria and utilization review so must have documented experience with this EPIC charting required ... The Judge Group Offshore Travel is seeking a local contract nurse RN Case Management for a local contract nursing job in long branch, New Jersey.Job Description &… more
- Elevance Health (Winston Salem, NC)
- …or ask you for payment as part of consideration for employment. ** Manager I, Utilization Review Management ** + Job Family: CUS > Service Operations + ... JR109280 **Location:** + NC, WINSTON **Description** ** Manager I, Utilization Review Management ** **Location: Candidates must live in the state… more
- Trinity Health (Fresno, CA)
- …services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of ... , leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement...utilization review , discharge planning and support case management … more
- Cedars-Sinai (Los Angeles, CA)
- …**Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager ...Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient ... as well as training/oversight of programs and services. Responsible for effective utilization review and proper resource management , including patient… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management … more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next ... adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager ... Management will ensure the timely delivery of utilization review , discharge planning and support case… more
- Actalent (Oklahoma City, OK)
- Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and ... care, acute, nurse, clinical, healthcare, Case management , Utilization management , Utilization review...Case Manager , Discharge Planner, UR experience. * Utilization review experience in a facility Experience… more
- Catholic Health (Lockport, NY)
- …and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review / Transitions of Care, as an ... Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...review experience in the role of a Care Manager or Disease Manager , Population Health ,… more
- Sharp HealthCare (San Diego, CA)
- …System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management . Expected outcomes… more
- Providence (Napa, CA)
- …the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management ... Registered Nurse License upon hire. + 2 years Case management , discharge planning, or utilization management...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7810 UTILIZATION REVIEW **Address:** CA Napa 1000 Trancas… more
- Ascension Health (Indianapolis, IN)
- …with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient ... **Details** + **Department:** Utilization Management + **Schedule:** Full time,...the areas of utilization criteria, appeal and review process, and case management system documentation.… 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 ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred or… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager ...Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- Providence (Missoula, MT)
- **Description** **Care Manager RN in Utilization Review Unit at Providence St. Patrick Hospital Missoula, MT** The Nurse Case Manager (NCM) is ... Schedule:** Part time **Job Shift:** Variable **Career Track:** Nursing **Department:** 3500 UTILIZATION REVIEW **Address:** MT Missoula 500 W Broadway **Work… more
- Centene Corporation (Sacramento, CA)
- …care, provider interactions, and facilitates operations within utilization management . + Manages prior authorization, concurrent review , and retrospective ... with applicable guidelines, policies, and procedures + Reviews and analyzes utilization management activities, operations, costs, and forecasted data to… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This...*Priority 5: Escalation *Refers cases that require second level review to Physician Advisor, Manager , and Director… more
