- Aequor (New York, NY)
- …experience as an occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience ... services to employees within regulated scope of practice and disability case management. Experience/Education: MS/NP in nursing degree and current NP license… more
- Sentara Health (Hampton, VA)
- …Careplex Hospital located in Hampton, VA is currently recruiting for an Inpatient Case Manager - RN . Full-time: 40 hours Shift: Days Requirements: Minimum ... Nurse, Nursing Education: - RN: Associate's, Bachelor, RN-Diploma and Master Degree Inpatient Case Manager , RN - Responsible and accountable for the provision… more
- Comhar Inc. (Philadelphia, PA)
- …required to provide our office with proof of COVID vaccination. Bilingual Blended Case Manager Supervisor Salary:$56000.10Bilingual Blended Case Manager ... Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case ... review should be completed using the updated Utilization Review sheet with particular attention paid… more
- Comhar Inc. (Philadelphia, PA)
- …required to provide our office with proof of COVID vaccination. Bilingual Blended Case Manager Supervisor Salary:$56000.10Bilingual Blended Case Manager ... Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case ... review should be completed using the updated Utilization Review sheet with particular attention paid… more
- ChristianaCare (Wilmington, DE)
- RN Case Manager Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p). Wilmington, DEChristiana ... Care - Wilmington Hospital currently recruiting a Weekend RN Case Manager with experience in Transitional Care...18 months of eligibility. Complete 8 continuing education credits (CEU) per year in Utilization and/or Case … more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case... review , triage and assignment of patients to case managers and for the coordination of all systems… more
- Duke Health (Durham, NC)
- …discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these ... duties within the requirements of CMS and other external review agencies. -Work Performed Monitor daily census and assignment to assure all patients are assessed. -… more
- UNC Health (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve.RN Utilization Manager position specifically for a Utilization Manager ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- UNC Health (Chapel Hill, NC)
- …through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... guidelines and policies.Responsibilities:1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… 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
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include ... 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
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/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
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review / Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days every ... the District of Columbia required 2-3 years of recent acute care experience Case Management Certification preferred Nursing at GWUH: Nurses at GWUH identify as… 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
- Henry Ford Health System (Detroit, MI)
- …+ Innovative Team Structure: Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, designed to let you ... **NEWLY ENHANCED PAY RATES** RN Case Manager - Emergency Department Work Schedule: Three 12-hour shifts (7am to 7pm) Location: Detroit Are you ready for an… more
- Henry Ford Health System (Detroit, MI)
- …equipment. + Innovative Team Structure:Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to ... and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager ! Who We're Looking For: Passionate, compassionate, and dedicated individuals who… more
- Hackensack Meridian Health (Hackensack, NJ)
- … management processes. + Develops the performance enhancement plan of the case manager , documents performance provides performance feedback, evaluates the work ... transfer from acute to post acute care. + Develops the performance improvement plan for the case manager , based on audits of the particular case manager .… more
- Baptist Memorial (Memphis, TN)
- …program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt Administration ... with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred-RN with 7 years of clinical experience… more
