- Sutter Health (Modesto, CA)
- …and 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
- Crouse Hospital (Syracuse, NY)
- …requirements related to acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical, Dental, ... Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for...for providing day to day management of the RN Care Managers in the department, including Utilization … more
- Charter Care Health Partners (North Providence, RI)
- …population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge planning) ... that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly preferred. Must… more
- Charter Care Health Partners (North Providence, RI)
- …population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge planning) ... that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly preferred. Must… more
- Henry Ford Health System (Detroit, MI)
- …Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of CMS, ... 2 years RN Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager...resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: +… more
- Sharp HealthCare (San Diego, CA)
- …requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care in ... level of care ; work closely with ambulatory care manager (ACM) at the system level,...provides information to the department head as indicated. + Utilization review and utilization managementThe… more
- UNC Health Care (Rocky Mount, NC)
- …insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact ... of patients through such case management functions as utilization review and discharge planning. May facilitate...for pathways, protocols, or guidelines that could improve patient care and utilization of resources. 2. Performs… more
- Wellpath (Lemoyne, PA)
- …care support. **How you make a difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical ... Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + Knowledge… more
- Truman Medical Centers (Kansas City, MO)
- …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Case Manager Care Continuity Services RN - Care ... - 4:30PM **Hours Per Week** 40 **Job Description** **Case Manager (RN)** Champion quality care . Advocate for...and written **Preferred Qualifications:** + RN experience in hospital utilization review , utilization management, or… more
- Crouse Hospital (Syracuse, NY)
- …education and outreach programs. Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to patients and ... Time, 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Care Manager Position Responsibilities: + Works collaboratively with the… more