- Valley Health System (Paramus, NJ)
- …/ LOS management. Accountable for directing the day-to-day operations for Concurrent Utilization Review processes for Medicare, Medicaid, Managed Care and ... of all inpatient Denials and Appeals activity ie Medicare RAC Denials, Managed Care Denials, Medicaid Denials and oversight of hospital specific managed care … more
- American Traveler (Puyallup, WA)
- …experience. Job Details *Work in the Case Management unit of an acute care hospital, *Serve an inpatient adult population including ICU, PCU, MedSurg, and ER ... 1-3 days with immediate patient assignments while paired with another RN case manager , Job Requirements *Active WA RN license required, *Bachelor of Science in… more
- Optum (Portland, ME)
- …benefits, and discover the meaning behind: Caring. Connecting. Growing together.? The Care Manager , RN provides leadership in the coordination of ... with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources...Bachelors Degree in Nursing (BSN) Previous background in managed care Certified Case Manager (CCM) 1+ years… more
- Life Care Center of Kirkland (Kirkland, WA)
- …months! We have a new Executive Director& a New Wage Scale! Come check us out. RN Care Manager /Resident Care Manager to work Full-time, Day shift Patient ... Care of Kirkland Position Summary The RN Care Manager is responsible for the coordination...One (1) year of clinical experience in post acute care setting preferred Prior case management, utilization … more
- eTeam, Inc. (Chapel Hill, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Job Title: RN- Care Manager Duration:13 Weeks Shift: 8:30AM-5:00PM... Care Management Assistant. -Consult Social Worker and/or Utilization Manager per established departmental protocol. Required… more
- UC Davis Health (Sacramento, CA)
- The Clinical Case Manager integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical ... and create a safe discharge plan. Facilitates the collaborative management of patient care across the continuum, completing utilization review around LOC and… more
- UNC HEALTH (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain… more
- Magellan Health, Inc. (Boise, ID)
- …and analysis. Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. ... and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data....quality of care . General Job Information Title Care Manager (UM/UR) - Remote, Idaho Licensed… more
- Hueman PE Talent Solutions (Helotes, TX)
- …to provide quality medicine while creating and maintaining the drive for patient care . Medical Center Manager Responsibilities: Patient Experience - Achieve NPS ... Description Medical Center Office Manager - Full-Time in San Antonio, TX Hueman...patients leave informed of all their next steps and care treatment. Talks to patients randomly to ask about… more
- NorthShore (Glenview, IL)
- …expertise and years of experience, among other factors. Position Highlights: Position: Continuum Care Manager Location: Glenview, IL Full Time: 40 hours per ... 2years clinical nursing experience preferred Minimum two (2) years of utilization review, discharge planning, case management or disease management preferred.… more
- Sutter Health (Modesto, CA)
- … care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... are to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced with the patients' self -determination while… more
- The University of Kansas Health System (Kansas City, KS)
- Position Title Social Work Case Manager - Palliative Care Bell Hospital Position Summary / Career Interest: The Inpatient Social Work Case Manager has ... as established by the healthcare team and executed by the case manager . Responsible for the psychosocial assessment of patients, for post hospital discharge… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …5 years of RN or relevant clinical experience. 1+ years of managed care experience (eg case management, utilization management and/or auditing experience). ... join us. The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and post service… more
- CenterWell Primary Care (Buffalo Grove, IL)
- …to sit on-site at our Buffalo Grove, IL branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical ... Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company,… more
- Atlantic Health System (Pompton Plains, NJ)
- …of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary ... team to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor and… 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 Nurse (RN) ... relevant certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care , utilization review, case management. Strong working knowledge of… more
- Orlando Health (Longwood, FL)
- …coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and the transition to the ... and Campus related to admission and continued stay approval. *Adheres to Utilization Management Plan. *Integrates National standards for care management scope… more
- LifeBridge Health (Randallstown, MD)
- …will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager . ... shifts every Saturday and Sunday JOB SUMMARY: The Inpatient Care Manager , in collaboration with the clinical...Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization of health services… more
- Catholic Health (Smithtown, NY)
- …practice to improve outcomes - to every patient, every time. Job Details CARE MANAGER RESPONSIBILITIES : Assesses, plans, implements, monitors and evaluates ... of care for patients across the acute care continuum. Performs required activities for utilization ...acute care continuum. Performs required activities for utilization management, PRI assessment and completion, transition planning, and… more
- Kaiser Permanente (Vallejo, CA)
- …and/or managing resources as needed in clinical areas to ensure appropriate assignment and utilization ; leading multidisciplinary continuum of care / care at ... the implementation of best practice models; leading the implementation of patient care delivery systems and practice standards across the service line; leading tasks… more
