- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... not intended to provide direct patient care; rather, a Case Manager will be assigned to specific...by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent… 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 ... determine appropriateness for inpatient and outpatient care. 3) Utilizes clinical expertise to determine the appropriate level of care...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… 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 ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- Actalent (Oklahoma City, OK)
- …advanced degree preferred. * Active Oklahoma RN license required. * Case Manager , Discharge Planner, UR experience. * Utilization review experience in a ... patient care methods or facilities Skills: Acute care, acute, nurse, clinical , healthcare, Case management, Utilization management, Utilization review,… 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 ... expected length of stay. The UR Case Manager secures authorization for the patient's clinical ...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- University of Miami (Miami, FL)
- …retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for ... (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami is currently seeking Utilization Review Case Manager to… 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 ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible… more
- Trinity Health (Fresno, CA)
- …responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered ... the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely...(AHA) Healthcare Provider CPR card is required. 6. Certified Case Manager (CCM) certification preferred. **Pay Range**… more
- Sharp HealthCare (San Diego, CA)
- …members to case management or quality management as appropriate for utilization or quality issues while maintaining department processes in compliance with the ... and employer business practices. **What You Will Do** The CMI performs clinical /medical necessity reviews and authorizes medical services that meet medical criteria.… more
- Prime Healthcare (Chino, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160166/lead- case - manager -%28rn%29 utilization ... Case Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review… 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 ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent judgment in ... care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while...assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. + Assure medical appropriateness… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse- case - manager utilization ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and… more
- Prime Healthcare (Bloomington, IN)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... hires and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization -review-on-site/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMonroe Hospital… more
- Prime Healthcare (Lynwood, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- case - manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
- Prime Healthcare (Montclair, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...related field or at least one year experience in case management, discharge planning or nursing management; + CCM… more
- Prime Healthcare (Reno, NV)
- …Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/159060/ case - manager -rn-union 10hr smrmc- utilization ... methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive… more
- Prime Healthcare (Chino, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160153/ case - manager -%28rn%29-- utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino Valley… more
- LifePoint Health (Rutherfordton, NC)
- …for employment: Minority/Female/Disabled/Protected Veteran* **Job:** **Nursing* **Organization:** ** **Title:** * Clinical Case Manager - Weekends* ... hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization...as indicated.13. Discusses payer criteria and issues on a case -by- case basis with clinical staff… more