- Children's Hospital Boston (Boston, MA)
- …Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard ... experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
- Actalent (Olympia, WA)
- …in case management and care coordination. + Experience with EPIC software. + Utilization review and appeals handling capabilities. + Discharge planning and ... including coordination and medication reconciliation, aiming to reduce emergency department visits and readmissions. The position involves handling all inpatient… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday - Friday, ... as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial management as… 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
- University of Michigan (Ann Arbor, MI)
- …to develop and implement a comprehensive, integrated discharge plan from the emergency department (ED). The RN Case Manager will recommend and document patient ... RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job...of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in… 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 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
- 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 West FT Days 8a-4p...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- LifePoint Health (Rutherfordton, NC)
- …through the appeals process; including RAC chart audit reviews. Emergency Department (ED) Case Management1. Serves as a gatekeeper of patients being admitted to ... the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of reimbursable… more
- LifePoint Health (Hickory, NC)
- *Registered Nurse (RN), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... technology to directly impact patient wellbeing. ** * * * Department /Unit Summary* * * Monday-Friday 7:30a-4:00p/8:00a-4:30p Accountable for the execution,… more
- Hartford HealthCare (Farmington, CT)
- …Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory ... documentation to validate or appeal payer denials. . Prepare, document, and submit appeals for DRG denials, ensuring appeals are well-supported with clinical… more