- University of Southern California (Alhambra, CA)
- …understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services...5 years Clinical experience + Req 2 years Ambulatory case management or utilization review … 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
- Banner Health (Phoenix, AZ)
- …provider networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained ... nursing. Our Care Management staff is seeking an RN Case Manager to work closely with members...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- HCA Healthcare (Kissimmee, FL)
- …opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will ... each individual is recognized. Submit your application for the opportunity below:RN Case Manager PRNHCA Florida Poinciana Hospital **Benefits** HCA Florida… more
- Access Dubuque (Dubuque, IA)
- …Dubuque office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. ... Bilingual RN Case Manager **Cottingham & Butler/ SISCO**...preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review … more
- Highmark Health (Pittsburgh, PA)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer...CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case … more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems. + Knowledge of ... to offer. Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care,… more
- Texas Health Resources (Dallas, TX)
- Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut Hill ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective… more
- HCA Healthcare (Wichita, KS)
- …experience or 2 years of critical care experience preferred + Certification in case management or utilization review preferred + InterQual experience ... opportunity to make a real impact. As a(an) RN Case Manager Lead you can be a... management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists… more
- Beth Israel Lahey Health (Needham, MA)
- …40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted ... but not limited to the Emergency Department, PACU and Preadmission testing. The case manager consults and collaborates in activities related to the establishment… more