- Baystate Health (Springfield, MA)
- …Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management ** The **RN Hospital Case Manager ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...preferred + 3-5 years clinical Nursing experience + Hospital Case Management , Care Coordination experience strongly preferred… more
- Prime Healthcare (Sherman Oaks, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/ case - manager - utilization ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
- John Muir Health (Walnut Creek, CA)
- …patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, ... practice with specialized focus on care coordination, compliance, transition management , education, and utilization management ....American Heart AssociationRequired + ACM Accredited Case Manager - ACMA American Case Management… more
- Guthrie (Sayre, PA)
- …and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for..., utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- University of Southern California (Los Angeles, CA)
- …the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management , ... Preferred Qualifications: + Pref Bachelor's Degree Nursing + Pref 1 year Case management or utilization review experience within the last three years… more
- Arnot Health (Elmira, NY)
- …improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for utilization management ... to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Select Medical (Warrensville Heights, OH)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
- Select Medical (Wichita, KS)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Anderson, SC)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current… more
- Select Medical (Alexandria, VA)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus**...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Cedars-Sinai (Los Angeles, CA)
- …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the ... Heart Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A...ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager -… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... This position integrates national standards for case management scope of services including: Utilization ...experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... functions ( Utilization Review, Social Work, Navigation, and Case Management ) including the execution of the...to seven years of leadership experience in care coordination, case management , or utilization review,… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... the hiring manager and program IND123A Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2026-6340 more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Molina Healthcare (WA)
- …unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is desirable (InterQual, MCG guidelines) , discharge ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics,… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... utilization , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. Monitors… more