- Detroit Medical Center (Detroit, MI)
- …case basis. This position integrates national standards for case management scope of services including: Utilization Management services supporting ... over and underutilization Timely, complete, and concise documentation in Tenet Case Management documentation system Maintenance of accurate patient demographic… more
- North Mississippi Health Services (Amory, MS)
- North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... or LPC-Licensed Professional Counselor Upon Hire Required Certified as a Board Certified Case Manager within 1 year of accepting position Upon Hire Preferred… more
- MUSC (Charleston, SC)
- …Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse ... Job Description Summary Utilizing a collaborative approach, the Case Manager will assess, plan, implement,...as a clinical expert related to discharge planning, resource utilization , and case management . Minimum… more
- MUSC (Charleston, SC)
- Job Description Summary The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse ... as a clinical expert related to discharge planning, resource utilization , and case management .Entity Medical... Manager (NCM) I reports to the Manager of Case Management and… more
- MUSC (Charleston, SC)
- …Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse ... Job Description Summary Utilizing a collaborative approach, the Case Manager will assess, plan, implement,...as a clinical expert related to discharge planning, resource utilization , and case management . Minimum… more
- UNC Health (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- UNC Health (Chapel Hill, NC)
- …effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be highly ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain… more
- The University of Vermont Health Network (Elizabethtown, NY)
- …similar experience required. Assessment and screening for employee health preferred.* Case management accreditation required by a nationally recognized ... accrediting body for case management (examples: CCM, ACM or ANCC...regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
- Sharp HealthCare (San Diego, CA)
- …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
- Sharp HealthCare (San Diego, CA)
- …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Manager Certification; Accredited Case Manager (ACM) - American Case Management...Do** As a member of the System Integrated Care Management (ICM) team the Utilization Manager… more
- CVS Health (Austin, TX)
- …is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... care more personal, convenient and affordable. Position Summary: This Case Manager RN position is with Aetna's...clinical practice experience as an RN - 6+ months Case Management or Utilization … more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related… 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
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Trinity Health (Philadelphia, PA)
- …Comments: 4 "Interviews patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or ... patients/significant others within one working day of Utilization Management Nurse, ED Case Manager , Care Transition Nurse, or other referral to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Baptist Memorial (Memphis, TN)
- …Experience: Minimum-RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred-RN with 7 years of ... clinical experience with Utilization Review or Case Management ...Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department:… more
- Covenant Health (Lewiston, ME)
- …+ Minimum of five years of broad clinical experience preferred. + Case Management and/or Utilization Manager experience preferred. + Certification as CCM ... Health Inc Position Description Job Title: Case Manager - Generalist Departments: Care Management Reports...Case Manager - Generalist Departments: Care Management Reports To: Director, Care Coordination FLSA Status: Exempt… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized...insurance coverage for acute care and skilled care + Case management experience preferred Special Skills and… more
