- University of New Mexico - Hospitals (Albuquerque, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Read on to fully understand what ... - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including… more
- Swedish Health Services (Renton, WA)
- …Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities *Coordination: Integrates ... on what really matters - our patients. The nurse case manager coordinates the care and service...Department leadership, the Medical Director, or Physician Advisor. *Resource Management ; Assures prudent utilization of all resources… more
- Reed Smith LLP (Pittsburgh, PA)
- …Plans to improve profitability (Client Value Team engagement/matter management , additional staffing/resource levers, client/matter selection, timekeeper ... for ourselves and for our communities. Position Summary The Global Practice Senior Manager for Life Sciences and Health Industry Group (LSHI) will support the… more
- University Health (San Antonio, TX)
- …preferred. Three years recent, full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance ... a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse… more
- University Health (San Antonio, TX)
- …preferred. Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance ... practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable. more
- Actalent (Duluth, GA)
- …nurse opportunity! Description Nurse will be working on site. Responsibilities will include: Case Manager / Utilization Management (90%) and Discharge ... Case management & Utilization ... Case management & Utilization management ...and Oregon. Required Skills At least 1 year of case management /care management Must be… more
- Guthrie (Sayre, PA)
- …and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for..., utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Trinity Health (Mishawaka, IN)
- …detail-oriented **RN** ** Case Manager ** to coordinate patient care, utilization management , and discharge planning. This role ensures quality outcomes, ... 3-5 years of clinical nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking,… more
- University of Southern California (Los Angeles, CA)
- …the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management , ... to multi-task. Preferred Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three years… more
- Arnot Health (Elmira, NY)
- …improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for utilization management ... to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Select Medical (Nashville, TN)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
- Select Medical (Madison, WI)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Chicago, IL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Select Medical (Alexandria, VA)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Lake Worth, FL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... functions ( Utilization Review, Social Work, Navigation, and Case Management ) including the execution of the...to seven years of leadership experience in care coordination, case management , or utilization review,… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... This position integrates national standards for case management scope of services including: Utilization ...experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-6210 more
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,...state, local, and federal programs + Comprehensive knowledge of utilization management , case management… more
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