• Utilization Review Case

    Trinity Health (Lavonia, GA)
    **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is… more
    Trinity Health (03/08/25)
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  • RN Case Manager

    Amergis (Anderson, SC)
    Salary: $2000 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization ... ongoing reassessments of the patient's status + Documents patient case information within a database system + Performs chart...for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers… more
    Amergis (05/08/25)
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  • RN Case Manager

    AdventHealth (Hendersonville, NC)
    …Drive Hendersonville NC 28792** **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
    AdventHealth (05/06/25)
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  • RN Case Manager Days PRN

    AdventHealth (Hendersonville, NC)
    …procedures. The value you'll bring to the team . Initiate and maintain ongoing utilization review based upon knowledge of Integral screening criteria for all ... for inpatient services. . Accurately document all discharge planning and utilization activities in the appropriate format. Qualifications The expertise and… more
    AdventHealth (05/02/25)
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  • Care Manager Registered Nurse (RN)

    UNC Health Care (Hendersonville, NC)
    …effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly organized ... issues with complex patients and identify trends. Formulates potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow… more
    UNC Health Care (05/10/25)
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  • Manager Care Management, Foster Care (DSS…

    Elevance Health (Hendersonville, NC)
    …ensures flexibility, responsiveness to client needs, and direct, hands-on engagement._ The Manager Care Management, Foster Care ( Manager I GBD Special Programs) ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,...adequate coverage for all tasks and job responsibilities. + Review all Care Plans and ISPs for quality control… more
    Elevance Health (05/13/25)
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  • Social Worker - Oncology

    Bon Secours Mercy Health (Greenville, SC)
    …clinical and operational excellence. **Primary Function/General Purpose of Position** The Social Work Case Manager (SW-CM) is a key contributor to the overall ... + Stewardship - Dedicated to the responsible and creative utilization of our resources to assure the continuance of...Chapter 63, Section 40-63-10 | 23-26) The Social Work Case Manager (LBSW, LMSW and LISW), according… more
    Bon Secours Mercy Health (04/28/25)
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