- Seattle Children's (Seattle, WA)
- …caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director to… more
- Baptist Memorial (Meridian, MS)
- …Required: RN with 3 years of clinical experience Preferred/Desired: RN with Case Management or Utilization Review experience in a hospital or payer ... Overview RN Utilization Review Weekender Job Code: 22818...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
- Baptist Memorial (Memphis, TN)
- …Required Preferred/Desired RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a hospital or payer setting ... RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a hospital or payer setting Desired Licensure,… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager, Utilization Management /ReviewDepartment:Patient Services-Patient Care ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a… more
- Actalent (Sunrise, FL)
- …and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman ... + Clinical review + Utilization review + Utilization management +...Managed care + Patient care + Medical record + Case management + Concurrent review … more
- UNC Health Care (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **Description** **Our Case Management team is seeking a...Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization … more
- Texas Health Resources (Arlington, TX)
- …Req And Bachelor's Degree Nursing Pref Experience 3 Years in an acute care setting, case management or utilization review Req 1 Year of acute case ... Degree Nursing Pref Experience 3 Years in an acute care setting, case management or utilization review Req 1 Year of acute case management… more
- Novant Health (Wilmington, NC)
- …operations, monitoring ongoing quality, productivity, and efficiency for both Utilization Review and Case Management activities. Is available for staff ... Certification (CCM), preferred. + Additional Skills Required: Current practice in case management / utilization review ; regulatory/governing standards,… more
- UNC Health Care (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **Job Details** Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Case Management Services Work Type: Full Time Standard Hours Per Week:… more
- RWJBarnabas Health (New Brunswick, NJ)
- …, Discharge Planning, & Community Health Nursing Preferred: + Case Management certification preferred. + Utilization review and/ or discharge ... knowledge of current concepts, research needs and research strategies related to case management , utilization review and discharge planning, + Maintains… more