- 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 (Savannah, GA)
- …Do you want to join an organization that invests in you as a **RN or LCSW Manager Case Management ** ? At Memorial Health University Medical Center, you come ... We are looking for a dedicated **RN or LCSW Manager Case Management ** like you...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Bachelor's Degree… more
- HCA Healthcare (Myrtle Beach, SC)
- …is recognized. Submit your application for the opportunity below: **RN or LMSW Manager Case Management ** Grand Strand Medical Center **Benefits** Grand ... by location._** We are seeking a **RN or LMSW Manager Case Management ** for our...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Bachelor's Degree… 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
- WellSpan Health (Lebanon, PA)
- …daytime hours Every-5th weekend **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles.... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- WellSpan Health (York, PA)
- …Holidays_** **_Occasional Weekend_** **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the ... patient discharge needs. Provides leadership in the integration of utilization and case management principles.... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- Tenet Healthcare (Detroit, MI)
- …avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting ... Registered Nurse (RN) - Case Manager - 2506003285 Description :...policies, InterQual, Transition Management , Utilization Management , and other topics specific to case … 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 (Houston, TX)
- …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
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