- CVS Health (Salt Lake City, UT)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred + Managed care/ utilization review experience preferred + Case management and ... discharge planning experience preferred + Discharge planning experience + Utilization review , prior authorization, concurrent review , appeals experience +… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Part time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute ... from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training… more
- HCA Healthcare (Las Vegas, NV)
- …your next step in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a RN Case Manager you want in your current...supporting a balance of optimal care and appropriate resource utilization .** **What you will do in this role:** +… more
- Tenet Healthcare (Detroit, MI)
- …provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan. Identifies the need for and drafts or defines ... to ensure timely referral, follow up and documentation. Implements and monitors utilization review process in place to communicate appropriate clinical data to… more
- HCA Healthcare (Austin, TX)
- …nurses at St. David's Healthcare have the opportunity to make a real impact. As a(an) Case Manager Austin Market Float Pool you can be a part of change. ... improve positive outcomes for your patients as a (an) Case Manager Austin Market Float Pool. We...review of patient medical records for purposes of utilization review , care coordination compliance with requirements… more
- HCA Healthcare (Austin, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager Austin Market Float Pool to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Case Manager Austin Market Float Pool opportunity....review of patient medical records for purposes of utilization review , care coordination compliance with requirements… more
- Sevita (Benton, AR)
- …updates/reports to funding sources and reports case status as part of utilization review on a consistent basis. + Assures that clinical reports include ... specialized services for infants, children, adolescents, Military Service Members and Veterans. ** Case Manager ** Everybody needs a job but only extraordinary… more
- Elevance Health (Norfolk, VA)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- HCA Healthcare (Kansas City, MO)
- …Do you want to join an organization that invests in you as a **RN Case Manager ** ? At Research Medical Center, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated RN Case Manager like you to be a...you will do in this role: + Responsible for utilization review , discharge planning and care coordination… more
- BJC HealthCare (Alton, IL)
- …services, cancer care, rehabilitation, 24-hour emergency care, ambulance services and more. Case Management, Utilization Review , Social Services: Provides ... **City/State:** Alton, Illinois **Categories:** Case Coordination **Job Status:** Full-Time **Req ID** :...patients for the purpose of compliance and the proper utilization of resources. Provides social service resources to patient's… more