- Trinity Health (Livonia, MI)
- …12. Communicates to the payer patient discharge date and discharge plan. Mediates between case manager and payer to ensure a seamless transition in care and ... **Employment Type:** Full time **Shift:** **Description:** RHIT Does not require...follow-up. 13. Provides updated third-party payor information to assigned Case Manager for continuity of care. 14.… more
- LifePoint Health (Rutherfordton, NC)
- …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... Rutherford Regional is dedicated to providing patients with a full range of services to meet their healthcare needs....appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Henry Ford Health System (Detroit, MI)
- NEWLY ENHANCED PAY RATES Title: MSW Case Manager Department: Inpatient Case Management Status: Full Time (40 Hours / Week) Shift: Days (8:00am to 4:30pm) ... department has recently redesigned into a dyad Social Work/RN Case Manager model where UR ...relocation assistance program! Detroit is a dynamic, diverse city full of history. For the first time in 66… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... work under pressure and deal with change. The Psychiatric Case Manager coordinates the care of patients...assure timely discharge. * Maintains an average Utilization Review ( UR ) accuracy rate at or above the goal. *… more
- Alameda Health System (Alameda, CA)
- AHD Case Manager RN + Alameda, CA...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents ... + Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req...+ Posted:March 27, 2024 **Summary** **Role Overview:** The AHD Case Manager (RN) is responsible for providing… more
- Catholic Charities of Oregon (Portland, OR)
- #RSC-025 Permanent Supportive Housing (PSH) Case Manager - Francis and Clare Department: Supportive Services Program Employment Type: Full Time (40hrs/wk.); ... Service Loan Forgiveness government-sponsored education loan repayment program. + Full list of benefits can be found on this...the most vulnerable Oregonians. Who You Are: The PSH Case Manager will use proactive prevention, best-practice… more
- University of Rochester (Rochester, NY)
- …complex decisions independently. Seeks assistance from FCM II, Operations Supervisor or Manager . Responsible to prioritize, monitor and resolve caseload in a timely ... and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings (30%) essential. 2. _Referral Coordination:_ Responsible… more
- Sharp HealthCare (Chula Vista, CA)
- …To provide support and help facilitate care coordination services provided by the Hospital Case Manager . This position is responsible for the care and services ... to patient in accordance with hospital policy and procedure.Assist the Hospital Case Manager by relaying information regarding patient demographics and the… more
- Sharp HealthCare (San Diego, CA)
- …Start Time** **Shift End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...management process.Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in… more
- Ventura County (Ventura, CA)
- Behavioral Health Quality Assurance Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4484664) Apply Behavioral Health Quality Assurance ... Manager Salary $100,736.96 - $147,969.63 Annually Location Ventura and...may require travel throughout Ventura County, CA Job Type Full -Time Regular Job Number 1088HCA-24AA (KCR) Department Health Care… more
- Billings Clinic (Billings, MT)
- …competency in all organizational, departmental, and outside agency requirements. *The responsibilities of the UR case manager are listed below, in order of ... medical necessity for inpatient level of care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and barriers to discharge on… more
- University of Rochester (Rochester, NY)
- …ultimate responsibility of the Principal Investigator (PI) and/or Clinical Research Manager , the CRC III will manage multiple studies? day-to-day operations, carry ... schedules appointments and study visits. + Manages and organizes case report forms, source documents and research records. +...entry and research tabs in the EMR, according to UR and department SOPs. **Assists in training less experienced… more
- Milford Regional Medical Center (Milford, MA)
- …will also manage the denial and appeal process under the guidance of the UR Manager . Qualifications: Education: Bachelor of Science in Nursing required Masters ... in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred Experience: Minimum of 5 years… more
- Western Washington University (Bellingham, WA)
- …Work type: Permanent Full Time Location: Bellingham, ... the potential of learners and the well-being of communities, University Residences ( UR ) works towards our vision and mission: Vision: Students living in University… more
- University of Rochester (Rochester, NY)
- …collaboration; and follow-up with patients; families; third-party payers; financial case management; and utilization management. The Price Estimation Analyst will ... systems. **Supervision and Direction Exercised** With general direction of the Supervisor/ Manager and with latitude for Initiative and judgment The Price Estimation… more
- Sharp HealthCare (San Diego, CA)
- …Time** Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... case management and leadership skills. + Certified Case Manager (CCM) - Commission for ...of resources to accomplish care management plan and goals.Document UR /UM processes according to SRS policies and procedures.Practice positive… more
- Acacia Network (New York, NY)
- Behavioral Health (Greenhope Services for Women) Admission Outreach Manager New York, NY : 2/1/2024 Job Description Job ID#: 3757 Job Category: Behavioral Health ... (Greenhope Services for Women) Position Type: Full Time Details: POSITION OVERVIEW: Provide full ...passionate, professional, transparent and responsible. The admissions and outreach manager must have excellent customer service skills and able… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... resource utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of… more
- University of Rochester (Rochester, NY)
- …of Pulmonary Critical Care, at The University of Rochester is seeking a full -time Human Subject Research Specialist, Level II, to coordinate human subject research ... trials in the Division with oversight from the Divisional Clinical Research Manager " With minimum direction and latitude for independent judgement, this individual… more
- University of Rochester (Rochester, NY)
- …advisement on academic policies for a diverse caseload of students; serves as case manager for students requiring coordination from other College and/or ... transfer to functional leads and other staff from the UR Student project, and liaises with UR ...+ Sign In + New User **Location:** Sch Engineering & App Sci ** Full /Part Time:** Full -Time **Opening:**… more