- Pyramid Consulting, Inc (Los Angeles, CA)
- Immediate need for a talented Supervisor - Case Manager / Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is ... located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID:24-20030 Pay Range: $90- $95/hour.… more
- Medical Solutions (Marietta, GA)
- Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Marietta, Georgia.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
- Merck & Co. (Durham, NC)
- …several years; currently Durham employs 1,000+ people. This role as a Manager , Operations will be an energetic, leader with strong interpersonal, leadership, and ... culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply -… more
- Merck & Co. (Ames, IA)
- …material master system planning parameters.Supply ChainManage, level load and report capacity utilization for months 1-12 as well as to interact with Global Supply ... and receipt of finished product and intermediary goods between regional sites. Review and report on financial impact of site inventory destruction.Leading BOM… more
- Integrated Resources, Inc (Riverside, CA)
- Job Title: RN Case Manager Location : Riverside, CA Duration : 3+ Months (Possibility of extension) Shift : 8 Hours X 5 days (40 Hours/week) 08:00 AM to 05:30 PM ... occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. . Reviews, analyses, and identifies … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of improving the health of our communities. About the Role:Job SummaryThe Admissions/ED Case Manager works to ensure appropriateness of patients to be bedded ... physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the... case management experience supervised by a certified case manager , or 24 months full-time … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… 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
- Southeast Georgia Health System (Brunswick, GA)
- …issues and has the ability to convey same to physicians/office staff. Assists the Manager with validating that utilization review processes are conducted as ... time & attendance and PTO requests as approved by department Manager ; Assists Case Managers in obtaining DME; Scans paper documentation into patient's electronic… 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
- 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
- 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
- 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
