- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of… more
- CDPHP (Latham, NY)
- …program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers ... and collaboration to ensure delivery of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral… more
- CVS Health (Chicago, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face to face assessing, planning,… more
- University of Southern California (Los Angeles, CA)
- …Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three years preferred. Required ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required...the management of specific patient populations. The RN case manager role integrates the functions of utilization … more
- HCA Healthcare (Alexandria, LA)
- …the highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of ... in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition of care...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You… more
- HCA Healthcare (Reston, VA)
- …Eligibility for benefits may vary by location._** Come join our team as a RN Manager Surgery. We care for our community! Just last year, HCA Healthcare and ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a RN...growth, we encourage you to apply for our RN Manager Surgery opening. We promptly review all… more
- Blessing Hospital (Quincy, IL)
- …nurse manager leads front line nursing staff in the delivery of patient care . The associate nurse manager coaches and guides nursing staff in the ... + I CARE standards of behavior + Collaborates with the nurse manager in budget development, utilization , evaluation, and adjustment + Maintenance of a… more
- CVS Health (Boston, MA)
- …transferring patients to lower levels of care . + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + 1+ ... Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * ... + Minimum of two (2) years medical/surgical experience in an acute- care hospital. Experience in utilization management/discharge planning, preferred. Additional… more
- BJC HealthCare (Alton, IL)
- …24-hour emergency care , ambulance services and more. Case Management, Utilization Review , Social Services: Provides admission and continued stay reviews ... Smith family, Alton Memorial today is a full-service acute care hospital. Alton Memorial offers patients a variety of...patients for the purpose of compliance and the proper utilization of resources. Provides social service resources to patient's… more