- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered- nurse - case -manager utilization - ... Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ;2. CCM or obtained within 6… more
- Actalent (Oklahoma City, OK)
- Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment ... or facilities Skills: Acute care, acute, nurse , clinical, healthcare, Case management , Utilization management , Utilization review, Insurance… 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 , ... 4 "Interviews patients/significant others within one working day of Utilization Management Nurse , ED Case Manager, Care Transition Nurse , or other… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) ... Apply Per Diem Registered Nurse III - Hospital Case Management / Utilization Review Salary $119,061.54 - $151,803.47 Annually Location Ventura, CA Job… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for...RNs **Experience Requirements** + 1 year of nursing or case management experience required. + Working knowledge… more
- ERP International (Tinker AFB, OK)
- …software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work ... may include but are not limited to** : Provides Utilization Management activities and functions by using...courteous way * Participate in all phases of the Case Management Program (CMP) and ensure that… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... discharge planning process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related to case… more
- UNC Health Care (Raleigh, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... medical discharge planning issues, continuing care needs by initiating appropriate case management referrals. Initiates appropriate social work referrals. 3.… more
- Beth Israel Lahey Health (Burlington, MA)
- …the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg ... Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse...committees representing patient issues and department functions such as case management , utilization and CQI… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is...in social work, counseling or a Michigan licensed Registered Nurse is required. + Full licensure in the State… more
- Cedars-Sinai (Los Angeles, CA)
- …Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - ... (BLS) **Experience:** 3 years In acute nursing 2 years Case Management preferred 1 year CPT coding...Per Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- Trinity Health (Fresno, CA)
- …the timely delivery of utilization review, discharge planning and support case management and the psychosocial services to patients, families, and hospital ... time **Shift:** Day Shift **Description:** Reporting to the Director, Case Management , Case Management..., leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN...in an acute hospital setting. At least 2 years Utilization Management / Case Management experience ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims… more
- McLaren Health Care (Detroit, MI)
- …management experience with an acute care hospital** _Preferred:_ + Experience in utilization management / case management , critical care, clinical ... **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm**...or patient outcomes/quality management . + Certification in Case Management Certification (ACM or CCM) +… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse -...and champion continuous care for our members. From meticulous case reviews to serving as a subject matter expert,… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …EM Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... to the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the...ethics and standards of practice of professional nursing; the Case Management Society of America (CMSA); American… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …EM Key Solutions is seeking a Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... to, the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the...ethics, and standards of practice of professional nursing; the Case Management Society of America (CMSA); American… 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
- Albany Medical Center (Albany, NY)
- …of three years clinical experience in an assigned service. + Recent experience in case management , utilization management and/or discharge planning/home ... Salary Range: $31.28 - $51.61 per hour Responsible for Utilization Management , Quality Screening and Delay ...high volume, acute care hospital preferred. PRI and + Case Management certification preferred. + Assertive and… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare fields. Competence in standardized medical necessity criteria Three years of recent case management or utilization management experience ACM, ... Functions and Responsibilities:** Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that… more