• Southeast Georgia Health System (Brunswick, GA)
    …our doors, and are the key to our culture of Service Excellence. As a Case Manager , you will coordinate the care and services for patient populations through ... the acute care episode, across the continuum of care. You will provide compassionate care to our patients every day. You will work collaboratively with interdisciplinary teams, both internal and external to the Health System, to improve patient care through… more
    JobGet (05/10/24)
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  • Clinical Case Manager - Weekends

    LifePoint Health (Rutherfordton, NC)
    …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... Rutherford Regional is dedicated to providing patients with a full range of services to meet their healthcare needs....appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
    LifePoint Health (04/19/24)
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  • Case Manager II, Acute Psychiatric

    Sutter Health (Berkeley, CA)
    **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... work under pressure and deal with change. The Psychiatric Case Manager coordinates the care of patients...assure timely discharge. * Maintains an average Utilization Review ( UR ) accuracy rate at or above the goal. *… more
    Sutter Health (05/03/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    AHD Case Manager RN + Alameda, CA...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents ... + Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req...+ Posted:March 27, 2024 **Summary** **Role Overview:** The AHD Case Manager (RN) is responsible for providing… more
    Alameda Health System (03/28/24)
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  • Psychiatric Sr Case Mgr

    University of Rochester (Rochester, NY)
    POSITION SUMMARY: The Senior Psychiatric Case Manager position is based in Pediatric Behavioral Health & Wellness: Brighter Days Urgent Care which is a part of ... services of the Department of Psychiatry located at the UR Medical Center. The new Urgent Care service provides:...up to 6-session model of care. The Senior Psychiatric Case Manager will support the Urgent Care… more
    University of Rochester (04/18/24)
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  • Financial Case Manager (Level 1)

    University of Rochester (Rochester, NY)
    …complex decisions independently. Seeks assistance from FCM II, Operations Supervisor or Manager . Responsible to prioritize, monitor and resolve caseload in a timely ... and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings (30%) essential. 2. _Referral Coordination:_ Responsible… more
    University of Rochester (05/08/24)
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  • Utilization Manager UM II - Transfer…

    Sharp HealthCare (San Diego, CA)
    …Start Time** **Shift End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...management process.Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in… more
    Sharp HealthCare (03/30/24)
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  • Behavioral Health Quality Assurance Manager

    Ventura County (Ventura, CA)
    Behavioral Health Quality Assurance Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4484664) Apply  Behavioral Health Quality Assurance ... Manager Salary $100,736.96 - $147,969.63 Annually Location Ventura and...may require travel throughout Ventura County, CA Job Type Full -Time Regular Job Number 1088HCA-24AA (KCR) Department Health Care… more
    Ventura County (04/30/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …competency in all organizational, departmental, and outside agency requirements. *The responsibilities of the UR case manager are listed below, in order of ... medical necessity for inpatient level of care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and barriers to discharge on… more
    Billings Clinic (03/13/24)
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  • Clinical Research Coordinator III

    University of Rochester (Rochester, NY)
    …ultimate responsibility of the Principal Investigator (PI) and/or Clinical Research Manager , the CRC III will manage multiple studies? day-to-day operations, carry ... schedules appointments and study visits. + Manages and organizes case report forms, source documents and research records. +...entry and research tabs in the EMR, according to UR and department SOPs. **Assists in training less experienced… more
    University of Rochester (03/16/24)
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  • Utilization Review Nurse

    Milford Regional Medical Center (Milford, MA)
    …will also manage the denial and appeal process under the guidance of the UR Manager . Qualifications: Education: Bachelor of Science in Nursing required Masters ... in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred Experience: Minimum of 5 years… more
    Milford Regional Medical Center (03/30/24)
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  • Assistant Resident Director

    Western Washington University (Bellingham, WA)
    …Work type: Permanent Full Time Location: Bellingham, ... the potential of learners and the well-being of communities, University Residences ( UR ) works towards our vision and mission: Vision: Students living in University… more
    Western Washington University (02/17/24)
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  • Price Estimation Rep III

    University of Rochester (Rochester, NY)
    …collaboration; and follow-up with patients; families; third-party payers; financial case management; and utilization management. The Price Estimation Analyst will ... systems. **Supervision and Direction Exercised** With general direction of the Supervisor/ Manager and with latitude for Initiative and judgment The Price Estimation… more
    University of Rochester (05/02/24)
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  • Admission Outreach Manager

    Acacia Network (New York, NY)
    Behavioral Health (Greenhope Services for Women) Admission Outreach Manager New York, NY : 2/1/2024 Job Description Job ID#: 3757 Job Category: Behavioral Health ... (Greenhope Services for Women) Position Type: Full Time Details: POSITION OVERVIEW: Provide full ...passionate, professional, transparent and responsible. The admissions and outreach manager must have excellent customer service skills and able… more
    Acacia Network (05/03/24)
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  • Sharp Rees Stealy - Supv Care Mgmt.-Population…

    Sharp HealthCare (San Diego, CA)
    …Time** Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... case management and leadership skills. + Certified Case Manager (CCM) - Commission for ...of resources to accomplish care management plan and goals.Document UR /UM processes according to SRS policies and procedures.Practice positive… more
    Sharp HealthCare (04/28/24)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... resource utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of… more
    University of Utah Health (04/24/24)
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  • Human Subject Res Coord II

    University of Rochester (Rochester, NY)
    …of Pulmonary Critical Care, at The University of Rochester is seeking a full -time Human Subject Research Specialist, Level II, to coordinate human subject research ... trials in the Division with oversight from the Divisional Clinical Research Manager " With minimum direction and latitude for independent judgement, this individual… more
    University of Rochester (05/07/24)
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  • Asst Director, Hajim Undergraduate Programs

    University of Rochester (Rochester, NY)
    …advisement on academic policies for a diverse caseload of students; serves as case manager for students requiring coordination from other College and/or ... transfer to functional leads and other staff from the UR Student project, and liaises with UR ...+ Sign In + New User **Location:** Sch Engineering & App Sci ** Full /Part Time:** Full -Time **Opening:**… more
    University of Rochester (04/04/24)
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  • Recovery Audit Nurse

    UNC Health Care (Rocky Mount, NC)
    …years of Healthcare/Medical setting + 1 year of HealthCare/Medical - Case Manager in Case Management, UR , Hospital Billing, Compliance, Charge Capture ... on managed-care and commercial payers (will work closely with Case Management / Utilization Review staff), and 3) reviews...Health Care Organization Unit: NGH Revenue Integrity Work Type: Full Time Standard Hours Per Week: 40.00 Work Schedule:… more
    UNC Health Care (04/16/24)
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  • Nursing Supervisor - Per Diem

    St. James Hospital (Hornell, NY)
    …know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management with completion of UR reviews + Monitor documentation for adherence ... of all nursing staff within the facility along with elements of case management. Performs complex and varied tasks requiring independent knowledge, its application… more
    St. James Hospital (04/16/24)
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