- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn- case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
- Mohawk Valley Health System (Utica, NY)
- …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, process and procedures ... Management Supervisor is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services.… more
- Mohawk Valley Health System (Utica, NY)
- …to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
- Dignity Health (Gilbert, AZ)
- …experience + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification + Utilization Review experience **Where You'll ... Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the...acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1… more
- Vighter Medical Group (Glendale, CO)
- …team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating ... nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews of medical records… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the ... in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- Arnot Health (Elmira, NY)
- …to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... Job Description CASE MANAGER - Up to $10,000 Sign...Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more