- Pyramid Consulting, Inc (Los Angeles, CA)
- Immediate need for a talented Supervisor - Case Manager / Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is ... located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID:24-20030 Pay Range: $90- $95/hour.… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Glendale, California.Job Description & ... tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're people… more
- OU Health (Oklahoma City, OK)
- Position Title: Manager Case Management Utilization Review - OU Medical CenterDepartment: Case ManagementJob Description:General Description: Under ... departmental goals, and departmental policies and procedures.Evaluates work performance of case manager in collaboration with the Director.Ensures appropriate … more
- A-Line Staffing Solutions (Cleveland, OH)
- …have skills with MS Word, Outlook, & Excel Preferred Experience: 1-2+ years of utilization review experience. Case Management certification (CCM) is a plus. ... Medicaid, Case Management, Certified Case Manager , Medical Coding, BSN, Medical Management, Utilization ... Manager , Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered… more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Tech Providers Inc. (AL)
- …experience - experience with utilization mgmt., utilization review , hospitality preferred.CCM (Certified Case Manager ) strongly preferred.Experience ... Position : Case Management CoordinatorLocation: REMOTEDuration: 12+ Month C2H Required...with all compliance, regulatory and contractual requirementsConducts ongoing audit review programs, develops tools to assess current outcomes and… more
- UNC Health (Chapel Hill, NC)
- …through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... guidelines and policies.Responsibilities:1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- Merck & Co. (Durham, NC)
- …several years; currently Durham employs 1,000+ people. This role as a Manager , Operations will be an energetic, leader with strong interpersonal, leadership, and ... culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply -… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family,… more
- 4S (Bethesda, MD)
- …at our Bethesda, Maryland program location. Service dog training experience or utilization is preferred. If you are a passionate, experience, licensed practitioner ... to clinical treatment programs. This position requires service dog training experience or utilization in a program setting, as well as state licensure and at least… more
- A-Line Staffing Solutions (Harrisburg, PA)
- …procedures and/or to obtain medical/fiscal records for review . . Discuss case findings with dental consultant, supervisor/ manager , DHS attorneys and law ... Respond to inquiries from providers or recipients. . Prepare case and testify at administrative hearings to defend the...license in good standing. . Demonstrate an understanding of utilization review processes. . Experience 1 year… more
- Southeast Georgia Health System (Brunswick, GA)
- …issues and has the ability to convey same to physicians/office staff. Assists the Manager with validating that utilization review processes are conducted as ... time & attendance and PTO requests as approved by department Manager ; Assists Case Managers in obtaining DME; Scans paper documentation into patient's electronic… more
- Marion County (Salem, OR)
- …program. SUPERVISION RECEIVEDWorks under the general supervision of a health program manager or program supervisor who assigns and oversees work, establishes goals ... are not limited to the following Provides clinical consultation to staff through case staffing and observation of clinical work. Provides feedback to staff for… more
- Merck & Co. (Ames, IA)
- …material master system planning parameters.Supply ChainManage, level load and report capacity utilization for months 1-12 as well as to interact with Global Supply ... and receipt of finished product and intermediary goods between regional sites. Review and report on financial impact of site inventory destruction.Leading BOM… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …and leaders who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary ... that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** :… more
