- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… 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 ...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- Sharp HealthCare (San Diego, CA)
- …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
- Molina Healthcare (San Bernardino, CA)
- … Management , OB GYN Case Management or Disease Management (not utilization management ).** ** Case Manager RN will work in remote and field ... ** CASE MANAGER REGISTERED NURSE for our...** CASE MANAGER REGISTERED NURSE for our CALIFORNIA Health Plan....an RN with at least 2 years of relevant Case Management experience. Ambulatory Case … more
- CVS Health (Austin, TX)
- …is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... care more personal, convenient and affordable. Position Summary: This Case Manager RN position is with Aetna's...2+ years' experience in critical care - 6+ months Case Management or Utilization … more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse- case - manager utilization - ... necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and...a related field. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Anaheim, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… 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 ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- Prime Healthcare (Chino, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160166/lead- case - manager -%28rn%29 utilization - management ... Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators… more
- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Actalent (Valencia, CA)
- …unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical Reviews Experience level: ... Description: + REMOTE + RN with experience in providing Case Management services to the Adult Care...alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar… more
- Trinity Health (Philadelphia, PA)
- …Comments: 4 "Interviews patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or ... patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or other referral to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Covenant Health (Lewiston, ME)
- …+ Minimum of five years of broad clinical experience preferred. + Case Management and/or Utilization Manager experience preferred. + Certification as CCM ... Health Inc Position Description Job Title: Case Manager - Generalist Departments: Care Management Reports...Case Manager - Generalist Departments: Care Management Reports To: Director, Care Coordination FLSA Status: Exempt… more
- Sharp HealthCare (San Diego, CA)
- …and refer members to case management or quality management as appropriate for utilization or quality issues while maintaining department ... of need for further management , communicates this to the appropriate Case Management Program per UM policy.Gathers pertinent information to provide … 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 ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case … 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 ... build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize...discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure… more
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161307/ case - manager utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more