- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity… more
- HCA Healthcare (Fort Pierce, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Manager of Case Management where...supporting a balance of optimal care and appropriate resource utilization . + Bachelors Degree, or Masters Degree must be… more
- HCA Healthcare (Inverness, FL)
- …knowledge and expertise! **Job Summary and Qualifications** We are currently looking for an ambitious Case Management Manager to help us reach our goals. As ... **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you...supporting a balance of optimal care and appropriate resource utilization . What qualifications you will need: + Bachelor's Degree… more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- Community Health Systems (Franklin, TN)
- …the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, authorization ... the process aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. + Reviews and closes out cases after patient… more
- Sharp HealthCare (San Diego, CA)
- …acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** We are seeking a Nurse Manager of Case Management with Medical City Plano to promote growth and unlock possibilities. At HCA ... may vary by location._** We are seeking a Nurse Manager of Case Management for...projects. + Works cooperatively with physicians to achieve the utilization of the case management … more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School...review information in the HMS. Communicates results to the case management entity for the specific insurance… more
- Providence (Santa Rosa, CA)
- **Description** **Care Manager RN - Case Management at Providence Santa Rosa Memorial Hospital in Santa Rosa, CA. This position is Part Time and will work ... + Coursework/Training: Environmental Orientation due within 30 days of hire. + Coursework/Training: Case Management Competency due within 90 days of hire. +… more
- Cambridge Health Alliance (Cambridge, MA)
- RN Case Manager - Inpatient Case Management CH **Requisition Number:** 10375 **Pay Range:** $42.00 - $94.90 per hour **Location** : CHA Cambridge ... Under the general supervision of the Director of Care Management , the RN Case Manager ...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more