- MedPro Healthcare Staffing (Downey, CA)
- …Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review , Case Manager RN ... Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …rounds. Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered ... (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- Sheppard Pratt (Amesbury, MA)
- …the equitable distribution of utilization review assignments. Assists Utilization Review Coordinators and Financial Case Management Representatives ... General Summary Under general supervision, provides day-to-day leadership of the utilization review process of patients admitted to the Hospital for Inpatient… more
- Kaiser Permanente (Panorama City, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. ... occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies … 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...pending licenses accepted), *Minimum of 2 years of acute case management experience required, *Current BLS certification from the… more
- Salvation Army (Los Angeles, CA)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge/permanent ... clients. This position is accountable to the Lafayette Program Manager . The Case Manager assesses...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Riverside County, CA (Moreno Valley, CA)
- …of Riverside - Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR ... experience. The department is looking for only option 1 ( Case Manager ) experience at this time. OPTION...in an accredited acute care hospital. Professional experience in case management and utilization review … more
- Kobre & Kim (New York, NY)
- …Analyst is a member of the Global Legal Services department and reports to the Manager of Legal Staffing & Utilization . The LSU department is responsible for (a) ... those with the necessary experience to handle the work. Supervisor: Senior Manager , Legal Staffing & Utilization Location: New York Primary Responsibilities:… more
- University of Utah Health (Salt Lake City, UT)
- …patients and families. Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. Identifies actual and potential delays… more
- HCA Healthcare (Austin, TX)
- Introduction Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you want in your current role? We invest in what matters ... review of patient medical records for purposes of utilization review , care coordination compliance with requirements...path, we encourage you to apply for our NICU Case Manager Austin Market Float Pool PRN… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Integral Care (Austin, TX)
- Case Manager (QMHP) Job Number: 25-12036 Job Summary: The Crisis Specialist QMHP - Office or Residential Based is responsible for ensuring the provision of ... Therapist, Counselor QMHP Keywords: Qualified Mental Health Professional, QMHP, Case Manager , Rehabilitation Specialist, Service Coordinator, Mental Health… more
- Regional One Health (Memphis, TN)
- Case Manager (Ryan White Part A Grant) A Brief Overview Coordinates and delivers client-centered services designed to promote timely access to medical care and ... monitoring/re-evaluation/updating care plans as needed * client-specific advocacy * review of service utilization Identifies designated population without… more
- Kaiser Permanente (Aurora, CO)
- …requests, including discharge planning activities when needed (collective referred to as Utilization Review ) for the Colorado region. Manages utilization ... concurrent requests. Responsible for the planning and decision-making related to utilization review . Develops and implements departmental policies and… more
- Pennsylvania Medicine (Philadelphia, PA)
- …Registered Nurse - PA (Required) 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe that the best… more
- Service Coordination, Inc. (Severn, MD)
- …base salary range of $64,395-$79,861 , determined based on education, relevant case management experience and relevant certifications We reimburse for all travel and ... and the people that we support. SCI provides quality case management and other related services by helping people...this sound like you? Send us your resume for review ! We'd love to see what you bring to… more
- Valley Health (Winchester, VA)
- …of America) Pay Grade 135 Job Description The Emergency Department (ED) RN Case Manager is responsible for establishing, coordinating, and maintaining the ... care across the continuum for the ED. The RN Case Manager responsible for the management of...and identifies cases where status discrepancy requires physician level review ; escalates case through appropriate venue for… more
- AHS Vista LLC (Waukegan, IL)
- …case management process. Coordinate the discharge planning process. Perform utilization review duties. Support PHIP. Maintain documentation. Provide ... information regarding denials and approvals. Provide education to patients, physicians, multidisciplinary team & the community. Requirements : Graduate of accredited school of nursing. Two years of recent nursing experience in an acute setting. RN License in… more
- Encompass Health (Bellefonte, PA)
- …Participate in utilization review process: data collection, trend review , and resolution actions. Participate in case management on-call schedule as ... Case Manager Career Opportunity Full-Time Opportunity...Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review /analyze case management reports, including Key Care… more
- AHMC Healthcare (San Gabriel, CA)
- …organizing, controlling, and directing all services and operations in the areas of Utilization Review and Discharge Planning. With primary focus of this role ... hires and vacancies levels are appropriate. *Reviews all Quality Assurance referrals from Case Managers and refers cases for peer review . *Accountable for the… more
