- University of New Mexico - Hospitals (Corrales, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * TREATMENT ... outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease… more
- Interim HealthCare (Greenwood, IN)
- …as a Registered Nurse (RN) in home health or similar setting; previous case management/ utilization review experience preferred. OASIS experience preferred. ... your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive… more
- CenterWell Home Health (Pittsfield, MA)
- …of action through the utilization of Performance Improvement principles. Responsible for review of the appropriate number of Case Managers and clinical staff ... at our Pittsfield, MA branch location. The RN Clinical Manager coordinates and oversees all direct care patient services...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- Christus Health (San Antonio, TX)
- …resource management for patient care delivery (Conditions of Participation COP 482.30). Case Managers enhance the continuity of care and cost effectiveness by ... integrating the functions of case management, resource management, clinical documentation management, and discharge planning (Conditions of Participation COP… more
- Molina Healthcare (San Antonio, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- University Health (San Antonio, TX)
- …preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance ... a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse… more
- University Health (San Antonio, TX)
- …preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance ... practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable. more
- 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
