- American Traveler (Salem, MA)
- …is required, *BLS certification through AHA required, *ACLS certification through AHA required, * Case Management , Utilization Management , and Discharge ... an experienced RN Case Manager with strong case management and discharge planning skills for...*Collaboration with multidisciplinary teams to coordinate care and resource utilization , *Parking may not be validated and public parking… more
- Medical Solutions (Omaha, NE)
- …in Port Charlotte, FL is seeking its next amazing RN (Registered Nurse) to work in Case Management ( Utilization Review). Read on if this sounds like your ... you where you want to go - personally and professionally. Wherever you may roam, travel healthcare helps you hone your skills and build an amazing resume. When you… more
- American Traveler (Madison, WI)
- American Traveler is seeking an experienced RN Case Manager for a daytime rehab utilization review position requiring an active RN license and two years of ... *Position based in a rehabilitation hospital setting, *Role is within the Utilization Review department, *Day shift schedule from 08:00 to 16:30, Job Requirements… more
- American Traveler (Roseville, CA)
- …must be disclosed prior to consideration, Additional Information *Responsible for comprehensive case management , utilization review, and coordination of care ... current CA RN license. Job Details *Work in a Case Management unit within a managed care...*Must have a broad knowledge base of healthcare delivery, utilization review, observation status, and post-acute levels of care,… more
- Merck & Co. (North Wales, PA)
- …characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and ... value evidence strategies for in-line and pipeline products. Obtains senior management approval of evidence generation plans. Provides outcomes research leadership… more
- Merck & Co. (Rahway, NJ)
- …characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and ... partners, designs studies, authors study protocols, develops measurement questionnaires, case report forms, data analysis plans, final study reports, scientific… more
- MedPro Healthcare Staffing (Bel Air, MD)
- …Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management , Utilization Review, Case Manager RN *Weekly payment ... a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel...up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate… more
- Merck & Co. (North Wales, PA)
- …characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, clinical ... partners, designs studies; authors study protocols; and develops measurement questionnaires, case report forms, data analysis plans, final study reports, scientific… more
- Novo Nordisk Inc. (San Francisco, CA)
- …policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains ... budget expenditures as directed Records all activities within a customer response management system (eg VEEVA) and all expenses within Concur in accordance with… more
- CareStar, Inc. (Logansport, IN)
- …on all required areas of specific programs that apply to case management services. Approves funds for utilization of available services, while meeting all ... Case Manager in the Clinical department to provide case management services including assessing the health...as required by state law, and the ability to travel . Adheres to the CareStar Rule in performance of… more
- Advocate Aurora Health (Libertyville, IL)
- …appropriate based on employment status). Actively participates in interdisciplinary case conferences. (As appropriate based on employment status). Patient ... others in organization to maximize efficiencies and conserve resources. Monitors utilization of resources to achieve excellent health outcomes for patients. Patient… more
- Zenex Partners (Santa Rosa, CA)
- … Review Facility: Providence Santa Rosa Memorial Hospital - Case Management Location: Santa Rosa, CA Employment Type: Travel /Contract Shift: Day (5x8 ... Hours) 8:00 16:30 Start Date: 3/3/2025 Job Duration: 13 weeks Compensation: Rate Type: Hourly Over Time: 8 regular hours in a day OR 40 regular hours in 1 week: 1.3% Double Time: None On-Call: 15$ Call Back: 1.3% Holiday Pay: 1.3% Additional Information:… more
- Kaiser Permanente (Vallejo, CA)
- …social work programs, and discharge planning services. Oversees social services case management activities. Manages staff activities, ensures their competencies, ... specialized patient populations and reducing hospital and office visit utilization . Develops and manages departmental budget. Identifies and implements opportunities… more
- Network Health WI (Menasha, WI)
- The RN Coordinator Utilization Management reviews submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. The ... RN Coordinator Utilization Management reviews applicable guidelines regarding payment...with complex health problems and needs to Network Health Case Management to reduce medical costs while… more
- NavitsPartners (Hyannis, MA)
- …care experience in a hospital setting (within past 5 years) 2+ years in case management , discharge planning, and utilization review Familiarity with ... Job Title: Travel Case Manager - LPN/RN (Emergency...role in ensuring high-quality care coordination, discharge planning, and utilization management for patients within the fast-paced… more
- Team Select Home Care (Conshohocken, PA)
- …evaluates individualized patient-centered care plans under the supervision of a physician Provides case management to an assigned group of patients and ancillary ... The Case Manager is a qualified registered nurse with...EMS Plan, and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and… more
- UnitedHealthcare (Indianapolis, IN)
- …Special Education, Counseling, or relevant degree with at least 1+ years of case management experience with older adults, individuals with disabilities or those ... Join us to start Caring. Connecting. Growing together. As part of a care management team who will manage complex members, the Care Coordinator will be the primary… more
- NewYork-Presbyterian Hospital (Brooklyn, NY)
- …acute care case manager/discharge planning, certified home health care (CHHA), Case Management experience, utilization experience, or managed care ... is responsible for all aspects of discharge planning and utilization management /review for an assigned group of...and retrospective reviews *Communicating with physicians and the inpatient case management teams on patients who do… more
- Elevance Health (Jacksonville, FL)
- …Skills, Capabilities and Experiences: Bilingual in Spanish strongly preferred. Previous case management or oncology experience strongly preferred. Experience ... Anticipated End Date: 2025-08-15 Position Title: LTSS Service Coordinator-LPN Case Manager (Bilingual-Tallahassee/Pensacola) Job Description: LTSS Service Coordinator -… more
- UnitedHealthcare (Albuquerque, NM)
- …on supporting members medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This position is full ... and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants… more
