- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... This role would be an evening shift position. The Coordinator of Case Management (RN CM) is responsible for promoting patient-centered care by coordinating the… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- … process is preferred. + Experience in a combination of home care management , case management review , utilization review , social service support, ... workplace, benefits administrators and individuals from other areas. The Case Manager facilitates the case management...other areas. The Case Manager facilitates the case management process along the healthcare continuum;… more
- HCA Healthcare (Gainesville, FL)
- … Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to...compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all… more
- Ascension Health (Baltimore, MD)
- …**Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review . Responsibilities: ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday,...medical necessity and/or compliance with reimbursement policy criteria. Provide case management and/or consultation for complex cases.… more
- Ascension Health (Nashville, TN)
- …the offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review . + ... **Details** + **Department:** Case Management + **Schedule:** Full Time,...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- HCA Healthcare (Fort Walton Beach, FL)
- …Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Fort ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …of care and cost effectiveness through the integration and functions of case management and utilization review . The person in this position is ... RN or LPN license. + Experience + RN or LPN with previous case management experience preferred, but not necessary. Effective communication - both written and… more
- Actalent (Sunrise, FL)
- …and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman ... assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman Commercial Guidelines + Medicaid +… more
- Houston Methodist (The Woodlands, TX)
- …of current state, federal, and CMS regulations, DNV requirements, and guidelines on case management , utilization review , and clinical documentation. ... is a key member and leader of the hospital's utilization review / management committee, which is...decisions, and other pertinent information per hospital/ case management and clinical documentation policies policy. + Review… more
- Catholic Health Initiatives (Bismarck, ND)
- …communication skills are essential. **PREFERRED Education and/or Experience:** Case Management , discharge planning or utilization review experience ... Alexius is looking for a RN to join the Case Management Team! **Job Summary** Case...health, gain access to services and manage the appropriate utilization of internal resources, balanced with patient's rights to… more