- Precoat Metals (Washington, MO)
- …and talent of the people on our team. We are looking for a great Production Manager for our brand-new facility, set to open later this year, in Washington MO. Are ... Customer Service Department personnel to establish priorities and sequences. * Review foremen's operation reports to ensure production & quality requirements are… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review ** , responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including: + Staff schedules to ensure appropriate department coverage, equitable… more
- Trinity Health (Mason City, IA)
- …**Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Hartford HealthCare (Torrington, CT)
- …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively...activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies and other referral… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... follows the UR process as defined in the Utilization Review Plan in accordance with the...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager - 8 Hour… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …provider and member appeals, denial interpretation for letters, retrospective claim review , special review requests, and UM pre\-certifications and appeals, ... treatment driven, look back periods, rider information and medical policy/medical review criteria + Weekend/Holiday Shifts Required\. + Saturday and Sunday and… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166682/*case- manager %2c-rn utilization - review ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- University of Miami (Miami, FL)
- …System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The incumbent conducts ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Prime Healthcare (Lynwood, CA)
- …licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157925/case- manager -rn%2c-- utilization - review ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of Mental Health regulations. Monitor open encounters and report any issues to the Business Manager . Review utilization of services in order to comply with ... Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a… more
- Providence (Medford, OR)
- …and geriatric, based on population focus. Duties also include complex discharge planning and utilization review . The Nurse Case Manager must be competent to ... **Description** **Care Manager RN at Providence Medford Medical Center, in...year home health, mental health, substance use, hospice, and/or utilization review + Progressive nursing leadership experience,… more
- University of Utah Health (Salt Lake City, UT)
- …an increased LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on ... and continuum of care providers. + Provides guidance to utilization review staff and providers on admission...events to identify trends within populations and works with Manager to formulate individual resolutions as well as at… more
- Trinity Health (Silver Spring, MD)
- …the activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies ... Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment...in an acute healthcare setting. + Designation Changes and Utilization Review + Knowledge of pertinent regulatory,… more
- Trinity Health (Syracuse, NY)
- …Day Shift **Description:** Abiding by the St. Joseph's Health Mission and Values, the manager of Utilization Review is responsible for the planning, and ... coordination of utilization review to promote appropriate, effective and...the patients within their service area. The Registered Nurse Manager is accountable for applying positive managerial strategies to… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case...documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic ... - 44.18 Under the direction of department leadership, the Utilization Review / Management RN. This position is...Priority 5: Escalation Refers cases that require second level review to Physician Advisor, Manager , and Director… more
- The Mount Sinai Health System (New York, NY)
- …+ Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... **JOB DESCRIPTION** **RN/Case Manager MSH Case Management FT Days** The Case...+ Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review Full Time Days - 2406003414 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves ... care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily,… more
