- Riverside County, CA (Moreno Valley, CA)
- …- Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case ... in an accredited acute care hospital. Professional experience in case management and utilization review in a hospital is preferred. Schedule: 9/80 after… more
- American Traveler (Boston, MA)
- American Traveler is seeking an experienced RN Case Manager with acute case management experience and an active MA RN license. Job Details *Position is based ... in a hospital setting within the case management department, *Day shift schedule from 08:00 to 16:30, five 8-hour shifts weekly, *A 20-week contract is… more
- Salvation Army (Los Angeles, CA)
- …to promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management and ... who are successfully placed in housing. Provide follow up case management for residents at1, 2, 4...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …relevant certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management . Strong working ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive...and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community… more
- Universal Healthcare Resources (Los Angeles, CA)
- …experienced Registered Nurse (RN) Care Coordinator/ for a 13-week contract assignment in the Case Management / Utilization Review department. This is a ... ) Location: Los Angeles, CA Unit Type: Care Coordinator - Case Management / Utilization Review Contract Length: 13 Weeks Shift: 8-Hour Days | Full-Time |… more
- University of Southern California (Los Angeles, CA)
- …to multi-task. Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review experience within the last three years ... management of specific patient populations. The RN case manager role integrates the functions of utilization... case manager role integrates the functions of utilization management , quality management , discharge… more
- MedPro Healthcare Staffing (Downey, CA)
- …Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management , Utilization Review , Case Manager RN ... Unlimited Referral Bonuses up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care for patients often… more
- Aptive (Denver, CO)
- …as required by the VA. Preferred Skills: Experience in care coordination, case management , or utilization review . Familiarity with VA systems, EHRs, and ... mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government… more
- Ascension (Baltimore, MD)
- …offer. Responsibilities Provide health care services regarding admissions, case management , discharge planning and utilization review . Responsibilities: ... Provide health care services regarding admissions, case management , discharge planning and utilization review... case management , discharge planning and utilization review . Responsibilities: Review admissions… more
- All Medical Personnel (Detroit, MI)
- …planning - Required Experience with all patient populations Required Case Management or Utilization Review Certification - Highly Preferred Benefits: ... Job Description Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious… more
- Odell Medical Search (Los Angeles, CA)
- …supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization ... Role you will play: The Director of Case Management is responsible for the...assessment and evaluation of data/statistics obtained from an on-going review process. 5. Experience and knowledge in basic to… more
- HCA Healthcare (Gainesville, FL)
- … Management is preferred BSN is preferred Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... Job Summary and Qualifications We are seeking a dynamic Case Management RN to join our team....physicians, patients, families, hospital staff, and outside agencies Performs utilization management reviews and communicates information to… more
- UHS (Wildomar, CA)
- …of acute care clinical experience. Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited ... Intensive Care Unit (NICU) is operated by Rady Children's. Case Managers are responsible for identifing and prioritizing the...and effective decision making in following the nursing process. Case Managers will also practice in accordance with all… more
- Strategic Staffing Solutions (Detroit, MI)
- …experience which may include acute patient care, discharge planning, case management , and utilization review , etc. Demonstrated clinical knowledge and ... Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of...plan experience or managed care environment preferred. Certification in Case Management may be preferred based upon… more
- Banner Health (Tucson, AZ)
- …agencies, provider networks, and regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained through the ... regulatory requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- Iconma LLC (Detroit, MI)
- …experience which may include acute patient care, discharge planning, case management , and utilization review , etc. Demonstrated clinical knowledge and ... health insurance plan experience or managed care environment preferred. Certification in Case Management may be preferred based upon designated department… more
- University of Utah Health (Salt Lake City, UT)
- …in healthcare or a related field. One year of experience in a utilization review or case management environment. Basic Life Support Health Care Provider ... Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care… more
- Medical University of South Carolina (Florence, SC)
- …A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Case ... Job Description Summary Come join our Florence, SC Case Management team as a full-time...quality of care. May also be responsible for conducting utilization reviews. Education/Experience: Bachelor of Nursing degree preferred with… more
- NavitsPartners (Hyannis, MA)
- …in a hospital setting (within past 5 years) 2+ years in case management , discharge planning, and utilization review Familiarity with InterQual(R) or ... a vital role in ensuring high-quality care coordination, discharge planning, and utilization management for patients within the fast-paced ED environment. This… more
- Sheppard Pratt (Amesbury, MA)
- …of utilization review assignments. Assists Utilization Review Coordinators and Financial Case Management Representatives in resolving ... General Summary Under general supervision, provides day-to-day leadership of the utilization review process of patients admitted to the Hospital for Inpatient… more
