- Sharp HealthCare (San Diego, CA)
- **Facility:** Copley Drive **City** San Diego ** Department ** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other; California ... care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual… more
- Calvary Hospital (Bronx, NY)
- …reimbursement and quality issues. 16. Communicates identified issues relating to quality, utilization , risk and discharge planning to the Department Director. ... The RN Case Manager (RNCM) will be responsible for all aspects...length of stay (ELOS). The RNCM participates in the Utilization Review, Discharge Planning, Risk Management, and Quality Assessment… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Sharp HealthCare (San Diego, CA)
- …documents as appropriate in the electronic medical record and provides information to the department head as indicated. + Utilization review and utilization ... **Facility:** Sharp Memorial Hospital **City** San Diego ** Department ** **Job Status** Regular **Shift** Day **FTE** 1...1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager … more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? experience as a ... **Job Description** **RN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW**...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Trinity Health (Philadelphia, PA)
- …experienced RN Care Manager to join our team in the Emergency Department ! **Schedule:** Full-time - Day Shift, 10-hour shifts **:** Under the general supervision ... of the Director of Care Coordination, the Emergency Department Care Manager assists physicians and the interdisciplinary team in facilitating the entry of… more
- State of Colorado (Colorado Springs, CO)
- …ten (10) calendar days from your receipt of notice or acknowledgement of the department 's action. For more information about the appeals process, the official ... ADMINISTRATOR IV: Clinical Contracts Manager (Colorado Springs, Colorado) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167059) Apply … more
- University of Southern California (Arcadia, CA)
- …indicators including case mix, LOS, cost per case, excess days, resource utilization , readmission rates, denials, and appeals . + Collaborates and communicates ... and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department , including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing ... Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for providing day to day...day management of the RN Care Managers in the department . Pay Range: $95,000 plus based on education and… more