- 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 is responsible...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… 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 ... the Care 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
- 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 ... MCG screening guidelines, and oversight of clinical denials/appeals. The Manager of Utilization Review participates in department and hospital performance… 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...staffs. -Case Manager experience as well as Utilization Review experience ( review medical… 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
- Actalent (Oklahoma City, OK)
- …license required. * Case Manager , Discharge Planner, UR experience. * Utilization review experience in a facility Experience Level: Intermediate Level About ... Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and… more
- Ascension Health (Indianapolis, IN)
- …with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing ... quality review programs and key performance indicators for all utilization review activities. + Interact with medical, nursing, and executive leadership to… more
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/case- manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn-case- manager utilization - review ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary health care ... them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent judgment in… 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 to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… 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 ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Providence (Napa, CA)
- …Schedule:** Full time **Job Shift:** Day **Career Track:** Nursing **Department:** 7810 UTILIZATION REVIEW **Address:** CA Napa 1000 Trancas St **Work ... families throughout the continuum of care. The RN Case Manager assists patients in the utilization of appropriate health care services. Position may require … more
- Dayton Children's Hospital (Dayton, OH)
- …CareSchedule:Full timeHours:40Job Details:Under the supervision of the Integrated Care Manager , the Utilization Review RN conducts ... information to payers in accordance with contractual obligations. The utilization review nurse serves as a resource...the physicians and provides education and collaborates with Care Manager in the development and implementation of the plan… more
- Universal Health Services (Bloomington, IN)
- Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR ... assessment, family motivation, treatment planning and communication with external review organizations or comparable entities. Licensure: Must maintain a valid… more
- Trinity Health (Fresno, CA)
- …responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered ... the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… 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 ... based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual... follows the UR process as defined in the Utilization Review Plan in accordance with the… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… 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 ... of clinical nursing experience in an acute care medical center is required. 3. Utilization review , discharge planning or case management experience and BSN is… more