- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... opportunity to make a real impact. As a(an) RN Case Manager you can be a part...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- HCA Healthcare (Tallahassee, FL)
- …Nurse license is acceptable for position if current and compliant + Certification in Case Management, Nursing, or Utilization Review , preferred + Three years ... an organization that invests in you as an RN Case Manager ? At HCA Florida Capital Hospital,...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential...you to apply for our RN Case Manager Part Time opening. We promptly review … more
- Deloitte (Los Angeles, CA)
- …Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,...continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively identifies… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... and employing over 160,000 crew members. **Essential Functions:** + ** Case Management Oversight** + Manage and review ...schedule for crew medical support. + Support the Senior Manager of Case Management in developing and… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- Northwell Health (Staten Island, NY)
- … management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps ... concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + Contacts… more
- Saint Francis Health System (OK)
- …reimbursement issues and participate in treatment teams, Patient Care Committee, and the Utilization Review Staff Committee by providing data and contributing to ... not all inclusive nor does it prohibit the assignment of additional duties. Utilization Review Management - Yale Campus Location: Virtual Office, Oklahoma 73105… more