- 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 ... position and also take into account information provided by the hiring manager and program IND123A Job LocationsUS-NY-Syracuse Category Case /Care Management… 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 ... criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department** :… 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** ... us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials… more
- Baystate Health (Springfield, MA)
- …employees. Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management** The **RN Hospital Case ... outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… 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, ... the community and does this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function within the full scope of the… more
- UNC Health Care (Raleigh, NC)
- …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
- Hartford HealthCare (Manchester, CT)
- …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical… 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 6… more
- Sanford Health (Rapid City, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a ... value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we...clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/management… more
- CVS Health (Austin, TX)
- …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's...clinical practice experience as an RN - 6+ months Case Management or Utilization Management experience -… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Access Dubuque (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... RN Case Manager PRN Dubuque **MercyOne** 1...RN Case Manager PRN Dubuque **MercyOne** 1 Positions ID: TRHEUS00632013MERCYO...MercyOne Family! We are looking to hire a Nurse Case Manager . The Case … more
- Trinity Health (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... Join the MercyOne Family! We are looking to hire a Nurse Case Manager . The Case Manager at MercyOne coordinates care… more
- Trinity Health (Clinton, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... Day Shift - (8 hour shift) **Essential Functions:** + Responsible for case screening, insurance approval, assurance of timely services, and facilitation of discharge… more
- Guthrie (Sayre, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Mayo Clinic (Rochester, MN)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
- Mayo Clinic (Phoenix, AZ)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
- Mayo Clinic (Jacksonville, FL)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more