- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Glendale, California.Job Description & ... tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're people… more
- OU Health (Oklahoma City, OK)
- Position Title: Manager Case Management Utilization Review - OU Medical CenterDepartment: Case ManagementJob Description:General Description: Under ... departmental goals, and departmental policies and procedures.Evaluates work performance of case manager in collaboration with the Director.Ensures appropriate … more
- Comhar Inc. (Philadelphia, PA)
- …required to provide our office with proof of COVID vaccination. Bilingual Blended Case Manager Supervisor Salary:$56000.10Bilingual Blended Case Manager ... Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case ... review should be completed using the updated Utilization Review sheet with particular attention paid… more
- Comhar Inc. (Philadelphia, PA)
- …required to provide our office with proof of COVID vaccination. Bilingual Blended Case Manager Supervisor Salary:$56000.10Bilingual Blended Case Manager ... Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case ... review should be completed using the updated Utilization Review sheet with particular attention paid… more
- Houston Methodist The Woodlands Hospital (Jersey Village, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- ICONMA (CA)
- . Provide inpatient case management to patients in a busy medical center. Responsible for utilization review and discharge planning.
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- ICONMA (Apple Valley, CA)
- …of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case... review , triage and assignment of patients to case managers and for the coordination of all systems… more
- Duke Health (Durham, NC)
- …discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these ... duties within the requirements of CMS and other external review agencies. -Work Performed Monitor daily census and assignment to assure all patients are assessed. -… more
- Duke Health (Efland, NC)
- …discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these ... duties within the requirements of CMS and other external review agencies. Work Performed Monitor daily census and assignment to assure all patients are assessed… more
- Christus Health (Alamogordo, NM)
- …patient status and assists him/her in ensuring proper placement of patient.Conducts utilization review using nationally recognized medical necessity criteria and ... there are actual or potential sources of under- or over- utilization .Collaborates with providers, nurses, patients, families, and other care...documents the review .Refers cases for second level reviews when medical necessity… more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
- 4S (Bethesda, MD)
- …at our Bethesda, Maryland program location. Service dog training experience or utilization is preferred. If you are a passionate, experience, licensed practitioner ... to clinical treatment programs. This position requires service dog training experience or utilization in a program setting, as well as state licensure and at least… more
- Southeast Georgia Health System (Brunswick, GA)
- …issues and has the ability to convey same to physicians/office staff. Assists the Manager with validating that utilization review processes are conducted as ... time & attendance and PTO requests as approved by department Manager ; Assists Case Managers in obtaining DME; Scans paper documentation into patient's electronic… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family,… more
- Abbtech Professional Resources (Raleigh, NC)
- …status of critical services, restarting failed services, low disk space, high CPU utilization , review event logs for issues, etc. * Collaborate/interact with ... systems for endpoints. These include Tanium, MECM (Microsoft Endpoint Configuration Manager ), Ivanti MDM/Neurons, Active Directory and others as required. * Perform… more
- Marion County (Salem, OR)
- …program. SUPERVISION RECEIVEDWorks under the general supervision of a health program manager or program supervisor who assigns and oversees work, establishes goals ... are not limited to the following Provides clinical consultation to staff through case staffing and observation of clinical work. Provides feedback to staff for… more
- VNS Health (New York, NY)
- …practice as a Registered Professional Nurse in New York State required. Certified Case Manager preferredEducation Bachelor's degree or Master's degree in nursing ... Health Social Services Community of Professionals What You Will Do Conducts comprehensive review of all components related to requests for services which includes a… more
