- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Glendale, California.Job Description & ... tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're people… more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
- The Judge Group Offshore Travel (Long Branch, NJ)
- …daysEmployment Type: Local ContractTravelers also accepted. 1+ yrs experience required Case Manager will be focused on criteria and utilization review so ... The Judge Group Offshore Travel is seeking a local contract nurse RN Case Management for a local contract nursing job in long branch, New Jersey.Job Description &… more
- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: Care ... by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family,… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- Actalent (Oklahoma City, OK)
- Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and ... care, acute, nurse, clinical, healthcare, Case management, Utilization management, Utilization review , Insurance...Active Oklahoma RN license required. * Case Manager , Discharge Planner, UR experience. * Utilization … more
- Prime Healthcare (Bloomington, IN)
- …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …and leaders who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary ... that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** :… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… 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 ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Trinity Health (Fresno, CA)
- …the time patients access the hospital in the emergency room. The case manager is responsible for utilization review , collaboration with physicians to ... time **Shift:** Rotating Shift **Description:** Reporting to the Lead Case Manager Emergency, Case Management,...in an acute care medical center is required. 3. Utilization review , discharge planning or case… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools,... follows the UR process as defined in the Utilization Review Plan in accordance with the… more
- Trinity Health (Fresno, CA)
- …Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial services ... responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered… more
- Dignity Health (San Bernardino, CA)
- …requirements specific to Utilization Review and Discharge Planning. The Case Manager partners with the medical staff, utilizes scientific evidence for ... and excellence). Primary elements of the case manager role include: Care Coordination, Utilization Review and Discharge Planning. This position requires… more
- Lowe's (Mooresville, NC)
- …+ Bachelor's Degree in Nursing and 3 years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Associate's Degree + ... The Lowe's Care Nurse position is a telephonic medical case management position with emphasis on early intervention, with...+ Manage an assigned caseload of medical workers' compensation case + Empower the employee with the tools to… more
- Arnot Health (Elmira, NY)
- …to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all ... Palmer, Sylvester and UHealth Tower. This position analyzes and distributes daily Case Manager assignments, coordination of monthly schedules, daily report… more
