- Frederick County, MD (Frederick, MD)
- …codes, and other applicable codes and standards. Direction may be given to plan review and inspection staff; Supervision is received from the Manager of the Office ... of Life Safety and Plan Review Services. NOTE : The upper pay range reflects...perform the essential functions of this job. Building Plans Reviewer I - Residential requirements ($ 31.49 - $… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager, or a behavioral health ... impact behind the scenes, this is your moment. As a Clinical Care Reviewer , you'll evaluate inpatient, outpatient, pediatric, or behavioral health services to ensure… more
- City of Suffolk, VA (Suffolk, VA)
- …they were actually written out in this job description. Essential Job Functions Review all plans and plats for commercial and residential buildings and development, ... conduct Code compliance inspections. Prepare written correspondence concerning plan review requirements, analyze responses for code compliance and authorize release… more
- VetJobs (Bedford, PA)
- …reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following ... and Critical/Adverse incidents related to clinical services. Audits and reviews case manager and provider clinical documentation and telephone interactions against… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …issue and handles project. This position prepares trainings, supports CAPA investigations, case review , documentation reviews in collaboration with the ICSR ... management and CRO/Vendor oversight groups for case processing activities and reports to the Director of...and identifies areas of concern, arranges for remediation. Performs review of data entry convention documents, PVA reviews and… more
- Boston Childrens Hospital (Boston, MA)
- Job Posting Description Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission to assess ... to manage utilization trends, collaborating with the hospital's discharge planning case managers, healthcare team, and Patient Financial Services. They are part… more
- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job Details ... certification through AHA required, *ACLS certification through AHA required, * Case Management, Utilization Management, and Discharge Planning skill set required,… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …(CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing, ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from admission… more
- HEALTH FIRST CAREERS (Melbourne, FL)
- Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate admission ... environment and regularly collaborates with the Medical Staff, Physician Advisors, Case Managers, Revenue Cycle and other multi-disciplinary teams. While this… more
- Medical Solutions (Omaha, NE)
- …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 healthcare helps you… more
- Clark University (Worcester, MA)
- …students of concern, including elevating students to BIT Participate in department review of policy regarding case management and provide recommendations in ... related to supporting and referring students of concern. Participate in department review of policy regarding case management and provide recommendations in… more
- Encompass Health (Vero Beach, FL)
- …Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review /analyze case management reports, including Key Care ... in utilization review process: data collection, trend review , and resolution actions. Participate in case ...trend review , and resolution actions. Participate in case management on-call schedule as needed. Qualifications *License or… more
- Amazon (Doylestown, PA)
- …years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review . 3+ years clinical work ... Clinical Case Manager At Amazon we believe that every...claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification Experience in large… more
- Morrison Child and Family Services (Federal Way, WA)
- Description Job Title: Case Management Supervisor- Home Study/Post Release (HS/PRS) Location: Federal Way, WA FLSA: Non-exempt/Hourly Hybrid: 2 days a week (office ... hope for our clients and ourselves Job Summary: The Case Manager Supervisor is responsible for all aspects of... load of home studies and post release services Review Notice of Concerns (NOCs), per federal policy requirements.… more
- Volunteers of America (St. Paul, MN)
- …join our life-changing team building hope, resilience and well-being as a Case Manager! Shift Details: FT 40 hours/week Compensation: $45,000-$50,000 annual salary ... MN 55113 Sign-On Bonus: $2000 About the job: The primary purpose of the VOA Case Manager role is to provide specialist, end-to-end case management of residents,… more
- City of New York (New York, NY)
- Case Management Supervisor This is a provisional appointment. When a test becomes available in the Associate Benefits Opportunity Specialist (ABOS) title, you must ... (1) Associate Benefits Opportunity Specialist I, to function as Case Management Supervisor, who will: Supervise a team of...of date; and one-shot deals. Assign application to staff, review application recommendations and sign off on all benefits… more
- ICL (New York, NY)
- …to announce that we are currently seeking a full-time candidate for the role of Case Manager Supervisor (CMS) to join our team! - Veterans preferred for specific VA ... under the general supervision of the Dir. of Social Services, the Case Mgr. Supervisor is someone primarily responsible for providing day-to-day oversight and… more
- Upbring (Houston, TX)
- …education planning, and mentorship through our BeREAL programs. What You'll Do The Case Manager is responsible for providing case management services to ... Standards Complete the assessment and intake process with each new participant; review program and eligibility guidelines with participants; review eligibility… more
- Valley Presbyterian (Los Angeles, CA)
- Job Summary: As a Registered Nurse/ Case Manager, Case Management Unit, you will play a pivotal in a variety of tasks that lead to a high level of customer ... satisfaction in the most cost-effective manner. Responsible for Utilization Management, Case Management, and Discharge planning activities on designated units within… more
- Salvation Army (Aurora, CO)
- Job Title: Intake/Access Case Manager FLSA Status : Full Time - non-exempt Reports to: Program Supervisor Schedule: FT, Monday-Friday (some weekends and holidays ... Tax-Deferred Annuity Plan (403(b)plan) Function : The Connection Center Intake/Access Case Manager position supports the provision of Coordinated Entry of social… more
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