- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning ... in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital...Lahey Hospital and Medical Center in Burlington Hospital at Home Program Full Time Days 8:00am-4:30pm Weekend and holiday… more
- Corewell Health (Royal Oak, MI)
- …3 years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- BAYADA Home Health Care (Orlando, FL)
- …should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ ... Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome… more
- BAYADA Home Health Care (Orlando, FL)
- …with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- …guiding and advising subordinates as necessary. Resolving routine personnel problems. Authorize and review utilization of home health nursing, social work, ... and safety, is looking for a** **Clinical Nurse Manager** **to join our** ** Home Health** **team!** **Why choose Baystate Homecare?** **Baystate Home Health is… more
- Northwell Health (Staten Island, NY)
- …in case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. ... concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + Contacts… more
- Monte Nido (Miami, FL)
- …nutritional, and clinical strategies to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible ... while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - Pacific hours** **Monte… more
- LA Care Health Plan (Los Angeles, CA)
- …illnesses, comorbidities, and/or disabilities in a UM/CM environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge ... experience in direct patient care, such as ambulatory care, home care, palliative care, hospice care OR experience in... care, palliative care, hospice care OR experience in Utilization Review or Care Management will be… more
- ChenMed (North Miami Beach, FL)
- …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning ... of care/LOS. + Validates Discharge plan for safe transition home , utilization of preferred providers or timely...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- BayCare Health System (Tampa, FL)
- …the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... **There's home care and then there's BayCare HomeCare!** Explore...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Health Advocates Network (Pittsburgh, PA)
- …the field of medical assistance (MA), health care services, human services, long term care, utilization review , or knowledge of home care Knowledge of and ... setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An… more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... of resources such as durable medical equipment, hospitalizations, and home healthcare. + Provide current and timely documentation reflecting...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
- ChenMed (St. Louis, MO)
- …of 2 years' clinical work experience required + A minimum of 1 year of utilization review and/or case management, home health, discharge planning experience ... and discharge planning. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Utilization Review (UR) and discharge planning + Strong interpersonal and… more
- Intermountain Health (Las Vegas, NV)
- …1-3 are a must in order to be considered for the position.** Performs medical review activities pertaining to utilization review , claims review , quality ... with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management, care management, claims, network management, and finance. As the… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization ... metrics. Leads the system-wide development of partnerships with payors to support Utilization Management. Collaborates with Castell, Home Care, Clinic Management… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Services RN you want with your current employer? We have an ... a committed, caring group of colleagues. Do you want to work as a(an) Utilization Review Services RN where your passion for creating positive patient… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Utilization Review Services Coordinator? At Parallonr, you come first. HCA Healthcare has ... and you have the opportunity to make a difference. We are looking for a dedicated Utilization Review Services Coordinator like you to be a part of our team.… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... our patients. **This position offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus! As our… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Integra Partners (Troy, MI)
- Position Summary + Integra Partners is seeking a full-time Utilization Review Medical Director to support our Utilization Management team. This is a ... responsibility. The role requires daily participation in a structured authorization review queue and close adherence to workflow timelines and productivity… more
Related Job Searches:
Home,
Home Based Utilization Review,
RN Utilization Review Home,
Review,
Review Home,
Utilization,
Utilization Review,
Utilization Review Home Health