- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management. Location: Vassar Brothers Medical Center Work Type: ... the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to… more
- Houston Methodist (Houston, TX)
- …approved utilization criteria to monitor appropriateness of admissions, level of care , resource utilization , and continued stay. + Participates in denial ... At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN)...utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute venues… more
- HCA Healthcare (Ogden, UT)
- …(BLS or BCLS) and Certification.** + **Certification in case management or utilization review preferred.** + **InterQual experience preferred.** Ogden Regional ... and expertise! **Job Summary and Qualifications** The RN Case Manager is responsible for promoting patient centered care...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **What you… more
- HCA Healthcare (Derry, NH)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager Team Lead will identify potential barriers ... care , and resource management. + The RN Case Manager Team Lead will coordinate activities that promote quality...or more years of clinical experience. + Case Management, Utilization & Managed Care experience and 1… more
- HCA Healthcare (Salt Lake City, UT)
- …to join an organization that invests in you as a Performance Improvement Manager ER and Throughput? At MountainStar Healthcare, you come first. HCA Healthcare has ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...difference. We are looking for a dedicated Performance Improvement Manager ER and Throughput like you to be a… more
- Carnival Cruise Line (Miami, FL)
- …stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, ... This role reports to the Senior Manager of Case Management and oversees the daily...seafarers and their families with professionalism and empathy. + Review clinical care plans for appropriateness and… more
- Sutter Health (San Francisco, CA)
- …case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care , and observation status. + Awareness ... experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside...to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced… more
- HCA Healthcare (Salt Lake City, UT)
- …sessions as well as conduct psychotherapy process groups. SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining ... Come join our team as a(an) Social Worker Case Manager . We care for our community! Just...more years of clinical experience preferred. + Knowledge of Utilization Review , DRG review , and… more
- HCA Healthcare (San Antonio, TX)
- …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...we encourage you to apply for our RN Case Manager PRN opening. We review all applications.… more
- Beth Israel Lahey Health (Needham, MA)
- …in case management. 4. Knowledge of discharge planning practices, understanding of utilization review practices including third party payer and insurance plans ... 40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to… more