- Cedars-Sinai (Los Angeles, CA)
- …at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as ... estimation of the patient's expected length of stay. The UR Case Manager secures authorization...required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager… more
- ChenMed (Houston, TX)
- …providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN)...and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager… more
- KBR (Hampton, VA)
- Title: Special Operations Nurse Case Manager /...their level of function and self-care. + Current licens ur e ; full , active, and unrestricted license ... our clients with cutting-edge solutions and services. We are seeking a stellar Special Operations Nurse Case Manager / Case Manager that will provide… more
- Hartford HealthCare (Manchester, CT)
- …serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical… 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, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management PT 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
- HCA Healthcare (Kansas City, MO)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your ... certifications and job skills. Apply today for our RN Case Manager Lead opening and continue to...using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What… more
- HCA Healthcare (Panama City, FL)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida Gulf Coast ... passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications**...Identifies and transmits system issues impacting patient care to Case Management Director/CFO/ UR committee, as appropriate +… more
- Select Medical (Warrensville Heights, OH)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical ... discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Wichita, KS)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Anderson, SC)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current ... licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Alexandria, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- HCA Healthcare (Hermitage, TN)
- …for benefits may vary by location._** Come join our team as a Clinical Resource Nurse Manager . We care for our communities and employees! HCA Hope Fund in ... state required. + 3 years of experience in QA, UR , or Case Management required. + 2...We are seeking distinguished applicants for our Clinical Resource Nurse Manager opening. Help HCA Healthcare create… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,...community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. +… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... RN Utilization Review - Case Management - 2506004107 Description : Join our...healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time GIP hospice Registered Nurse to work 12PM to 730PM in the Morris, Essex, Union, ... ($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Duties & Responsibilities: Performs Patient assessments. + Accurately assesses… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care... Case Manager Certification (CCMC) or the American… more