- Medical Solutions (Omaha, NE)
- …in Santa Barbara, CA is seeking its next amazing RN (Registered Nurse) to work in Case Management ( Utilization Review ). Read on if this sounds like ... your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam, travel… more
- 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
- HEALTH FIRST CAREERS (Melbourne, FL)
- …or Emergency Department Nursing Knowledge/Skills/Abilities: Current working knowledge of care transitions, utilization management , case management and ... Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical...analysts as necessary. Is an active member of the Utilization Management Committee. Work Experience MINIMUM QUALIFICATIONS… more
- Boston Childrens Hospital (Boston, MA)
- …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: Current Massachusetts license as a ... Job Posting Description Department Summary: The UM Case Managers at Boston Children's review ...utilization trends, collaborating with the hospital's discharge planning case managers, healthcare team, and Patient Financial Services. They… more
- Seattle Children's Hospital (Seattle, WA)
- …caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director to… more
- Amazon (Doylestown, PA)
- …advisory experience in occupational health, worker compensation, disability, health case management , or utilization review . 3+ years clinical work ... experience (STD/LTD claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification Experience in large… more
- LanceSoft (New York, NY)
- …RN license in New York State *Prefer minimum of 1-3 years relevant experience in case management , utilization review and/or quality assurance *Experience ... Job Description: Position Purpose: Provide case management and clinical services to employees within their regulated scope of practice. Experience/Education:… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …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
- All Medical Personnel (Medford, OR)
- …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
- Generis Tek, Inc. (Gainesville, FL)
- …to know and understand the medical needs for patient Certification in Case Management , Nursing or Utilization Review is preferred Florida RN license ... (ie, physical, psycho-social, financial). Participates in IDT rounds, Conducts utilization review , evaluates clinical information, and communicates findings… more
- HCA Florida North Florida Hospital (Gainesville, FL)
- …to know and understand the medical needs for patients Certification in Case Management , Nursing or Utilization Review is preferred Florida RN license ... experience or strong Med-Surg experience) Would also consider someone that has case management experience in a LTAC facility Must have good critical thinking… more
- VetJobs (Beverly Hills, CA)
- …of acute nursing experience required 3 years of previous experience in case management , discharge planning, utilization review , and HMO in the acute ... Case Manager will assist in the daily operations of the inpatient case management department. Primary responsibility is to provide oversight of the daily… 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
- UNC HEALTH (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... discharge plan. Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per… more
- HCA Healthcare (Kansas City, MO)
- …clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services.… more
- Medstar Health (Columbia, MD)
- …strategic program development Review critical cases referred by utilization review and case management teams Guide your physician advisor team ... of physician advisory experience and direct clinical practice Strong knowledge of case management , utilization review , regulatory standards, denials … 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
- Day Kimball Healthcare (Putnam, CT)
- …the Case Management Department functions and activities to include Utilization Review / Case Management /Clinical Documentation/RAC. Carries out the ... Day Kimball Health is hiring for a Registered Nurse, Case Manager for Case Management ...preferred. Knowledge of regulatory issues that direct healthcare, compliant utilization management , compliant care management … more
- University Health (San Antonio, TX)
- …preferred. Three years of recent, full-time hospital experience preferred. Work experience in case management , utilization review , or hospital quality ... nurse is required. National certification in a related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator… more
- Ardent Health Services (Albuquerque, NM)
- …least one year physician office experience (adult / family medicine). Quality Improvement, Case Management , Utilization Review , Risk Mgt./Safety ... recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. Responsibilities The patient care coordinator will demonstrate the ability to… more
