- Holzer Health System (Gallipolis, OH)
- …and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer potential ... in related field will be taken into consideration. . Professional experience with case management, utilization review , or discharge planning highly desirable. .… more
- Providence (Anchorage, AK)
- …planning, coordination of care, resource utilization management and/ or review , discharge planning, documentation of interventions, regulatory compliance and patient ... or Inpatient setting + IRR or annual competency testing in Utilization Review **Preferred Qualifications:** + Bachelor's Degree in Nursing or higher within 3… more
- McLaren Health Care (Petoskey, MI)
- …for new supplies and minor equipment purchases. + Fosters smoothly running case management and utilization review services and processes through timely ... attainment of objectives through the selection, development, training, and evaluation of case management and utilization review services staff. + Maintains… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ case -manager%2c-rn utilization- review ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- The Salvation Army (Norristown, PA)
- …developments, as well as keep in-depth cases notes for each client. Other: + Serve on Resident Case Review Team and attend monthly meetings + Serve as a Level 1 ... Reviewer for Client Grievances relative to Case Management + Assume some clerical duties, including answering phones, occasional monitor duties and other tasks as… more
- UTMB Health (Friendswood, TX)
- …and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. + Prepares ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff. + Contributes to the overall success of UTMB… more
- City of New York (New York, NY)
- … case determinations and take action to resolve outstanding issues. - Review case inquiries submitted by community-based organizations and conducts research ... general supervision of the Case Resolution Supervisor, the Case Resolution Specialists review and resolve case inquiries submitted by partner… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work with...coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts… more
- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... limited to: a Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Stony Brook University (Stony Brook, NY)
- …+ Coordinate the design, development, implementation, and monitoring of the organization's case management and utilization review functions. + Lead initiatives ... Director of Case Management **Position Summary** We are seeking a...collaboration with Social Work Services * Knowledge of Utilization Review and Denial/Appeals * Knowledge of Data Analytics **Special… more