- BayCare Health System (Tampa, FL)
- …Preferred Masters in Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …for documentation issues as they relate to the working DRG developed by the Case Manager /Coder. Assists with special projects as directed or requested by the ... Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages...of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred. Extensive knowledge and… more
- Providence (Mission Hills, CA)
- **Description** **RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... utilization reviews for our LA ministries. Conduct clinical reviews...remote UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree… more
- Stanford Health Care (Palo Alto, CA)
- …work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review ...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... to complete reviews and determinations within required turnaround times specific to the case type. Identifies requests needing medical director review or input… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is… 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...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Guthrie (Sayre, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...care setting with strong care management, utilization review , and payer knowledge. A Case Management… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more