- Amberwell Health (Atchison, KS)
- …Locations Job Shift Day Job Category Nursing - Hospital Description The Utilization Review/ Case Manager will assure maximum coverage by third party payers for ... guidelines. Reviews application for patient admission and approves admission or refers case to facility utilization review committee for review and course of action… more
- UR Medicine Home Care Inc. (Webster, NY)
- Full-Time/Part-Time Full-Time Location UR Medicine Home Care Certified Services Salary $45.00 per hour Description Advantages to working at UR Medicine Home Care ... contribution $10,000 SIGN ON BONUS ELIGIBLE Provides direct patient care and/or case management within a patient and family centered care environment. Caseload… more
- Henry Ford Health System (Detroit, MI)
- …*The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Tenet Health (Sunnyvale, TX)
- …an Authorization Coordinator that collaborates with Insurance verification, insurance CM, Hospital Case Manager UR /transition Planner and physicians to ... needed by payors and updates are provided by alerting Case Manager assigned to case ...failure points in revenue cycle Prepare denial information for UR Committee, Denial and Revenue Cycle Meetings Collaborate with… more
- FROEDTERT HEALTH (Milwaukee, WI)
- …NLC (Nurse Licensure Compact). MCG certification is required within 18 months of hire. Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. A minimum of 5 years of acute care… more
- Select Specialty Hospital - Mckeesport (Mckeesport, PA)
- Overview Critical Illness Recovery Hospital Case Manager (PRN) Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist ... providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge… more
- Rush Specialty Hospital (Chicago, IL)
- Overview Rush Specialty Hospital Case Manager Hours/Shift: Per Diem (PRN) *Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts ... providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge… more
- Select Specialty Hospital - Memphis East (Memphis, TN)
- Overview Critical Illness Recovery Hospital Case Manager $15,000 Sign On Bonus Requires a current licensure in a clinical discipline either as a Nurse ... providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge… more
- DHR Health (Edinburg, TX)
- …SUMMARY: Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a patient advocate to hospital clients. An autonomous ... of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities to reduce cost...of the decision to issue notice of non-coverage. Explains UR process and insurance coverage requirements. Obtains physician's written… more
- Stony Brook Medicine (Stony Brook, NY)
- Position Summary At Stony Brook Medicine, a Care Manager is a valuable member of our team, who provides clinical services to our patient population. Qualified ... our high standard of excellence. Duties of a Care Manager in the Care Management Department may include the...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
- Kaiser Permanente (Clackamas, OR)
- …and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other ... while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing,… more
- NYC Health Hospitals (New York, NY)
- …to create requested self-pay bills for Medicaid application *Work collaboratively with case management, UR , corp. Managed care team and admission departments ... Job Description Position Overview: Reporting directly to the LTACH Patient Account Manager and working independently or with others, the coordinating Manager … more
- Seattle Children's (Seattle, WA)
- …provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director ... Using Seattle Children's leadership qualities and values-based behaviors the manager is accountable for achieving goals and key performance indicators… more
- Community Health Systems (Franklin, TN)
- …- Registered Nurse - State Licensure and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) ... + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer… more
- Community Health Systems (Franklin, TN)
- …from the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, authorization ... process aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. + Reviews and closes out cases after patient… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Guthrie (Sayre, PA)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
- LifePoint Health (Rutherfordton, NC)
- …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics. Coordinates care and services...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager Inpatient Mount Sinai West FT Days 8a-4p EOW (Holiday Rotation)** The Case Manager (CM) will be responsible for all ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: 1. Maintains a working knowledge of the UR requirements of each payor within the patient population;… more
