- 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 ... and an estimation of the patient's expected length of stay. The UR Case Manager secures authorization for the patient's clinical services through… more
- ChenMed (Richmond, VA)
- …CCM or DM programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager ** ( _primarily clinic ... expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality… 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 ... the right time, and in the right setting". The UR CM is responsible for preoperative, concurrent, and retrospective...Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… 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, ... operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for… 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
- KBR (Hampton, VA)
- Title: Special Operations Nurse Case Manager / Case Manager (Hampton Roads, VA) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is ... services. We are seeking a stellar Special Operations Nurse Case Manager / Case ...their level of function and self-care. + Current licens ur e ; full , active, and unrestricted license… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Developmental Services Case Manager (40 Hour) Hybrid Recruitment # 260105-5660FP-001 Location Hartford, CT Date Opened 1/7/2026 3:15:00 PM Salary $82,249 - ... so, we encourage you to consider the Developmental Services Case Manager position below! The State of...+ Assists with responses to ICF surveys, inspections and IPR/ UR as required; + May review individual service plans… 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
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... POSITION SUMMARY The purpose of the Case Coordinator position is to support the physician...achieve continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively… 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 ... 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 (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 ... 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 (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 ... 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
- 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 ... community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. + Knowledge of health care and insurance… 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...practice, internal and external requirements. Provide denial information for UR Committee, Denial and Revenue Cycle Collaborate with Patient… 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
- Bassett Healthcare (Cooperstown, NY)
- …as well as active participation in Psychiatry Department meetings, PI and UR . The LCSW-R Clinical Supervisor provides oversight of the LMSW/LCSW in accordance ... treatment plan goals and + objectives + Participates in case conference treatment team meetings + Treats patients, colleagues,...other duties as requested and observed by supervisor or manager + Partial remote work is available dependent upon… more