- 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 Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- HCA Healthcare (Dallas, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager ( Inpatient ) Mount Sinai Morningside FT Days EOW** The Case Manager (CM) will be responsible for all aspects of ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...continued stay reviews utilizing standardized criteria to justify continued inpatient stay. 3. Collaborates with Physician and other clinicians… more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Cambridge Health Alliance (Cambridge, MA)
- RN Case Manager - Inpatient Case Management CH **Requisition Number:** 10694 **Pay Range:** $41.58 - $93.96 per hour **Location** : CHA Cambridge ... : rotating weekend/ **Category** : Registered Nurse **Department** : Inpatient Case Management CH **Job Type** :...supervision of the Director of Care Management, the RN Case Manager provides clinically-based case … more
- Texas Health Resources (Dallas, TX)
- Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective utilization… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Everett ... **Work Days:** 8-4:30pm including weekend rotation **Category:** Registered Nurse **Department:** Inpatient Case Management Everett **Job Type:** Per Diem **Work… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Cedars-Sinai (Marina Del Rey, CA)
- …staff member feels like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management ( Inpatient ) - Per Diem (8-hour day shifts) - ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified… more
- Henry Ford Health System (Detroit, MI)
- …Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to ... for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American ...Henry Ford Hospital - Detroit Main Campus + Department: Inpatient Case Management + Shift: Day Job… more
- Highmark Health (Jefferson Hills, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
- Sanford Health (Bismarck, ND)
- …Range:** $34.00 - $51.00 **Department Details** We are seeking a compassionate and skilled Inpatient Case Manager to join our dedicated care team. In ... care across disciplines, and ensuring safe, seamless transitions from inpatient care to the next level of services. As...care to the next level of services. As a Case Manager , you'll be both an advocate… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every ... Daylight M-F, 40 hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... retrospective review of inpatient admissions and services. This position will obtain authorization...access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts… more
- Houston Methodist (Houston, TX)
- …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED**… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Manager , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support staff. ... including a high-level understanding of prior authorization processes including inpatient /concurrent reviews, outpatient, and retrospective reviews. Primary Responsibilities +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …KS or MO Compact within 60 days of hire + One of the following: American Case Management, Certified Case Manager required upon hire + Employees must obtain ... of our hospital. Overview To provide leadership to integrated inpatient teams; assists Director in the management of department;...equivalent within 730 days + Employees must obtain Certified Case Manager or equivalent within 730 days… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... acute hospital setting. Previous experience to have a strong understanding of Utilization Management/ Case Management practices including, but not limited to,… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …you can take your career to the next level. **Being an Admissions & Utilization Review (UR) Manager Devereux Children's Behavior Health Center has its ... fluid collaborative admissions process to ensure the proper psychiatric inpatient services are being provided to the children we...the presenting symptoms. Every day as an Admissions & Utilization Review Manager you will + Supervise… more