- LifePoint Health (Rutherfordton, NC)
- …adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a ... appropriately from admission through discharge. Coordinates care and services within the case managed population. Educates Physicians and staff in Case … more
- UNC Health Care (Raleigh, NC)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager ... and well-being of the unique communities we serve. **Our Case Management team is seeking a System-wide Complex ...policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new… more
- Sharp HealthCare (San Diego, CA)
- …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 (ACMA); Master's Degree; Bachelor's… more
- Providence (Santa Rosa, CA)
- …for Care Network: Healthcare related field - Nursing Preferred. + Bachelor's degree for Case Management/ UM Review : Nursing or related field. + 2 years for ... + 1 year for Care Network: 1 year Leadership experience. + 3 years for Case Management/ UM Review : 3 years Case Management experience. + 2 years for Case … more
- Brockton Hospital (Brockton, MA)
- …flow and reduce service delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and...of denials, questionable cases and cases referred for outside review . Monitors denial rate and develops remediation plans to… more
- ChenMed (North Miami Beach, FL)
- …clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning experience ... and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients' families… more
- Tenet Healthcare (Detroit, MI)
- …· Establish goals and objectives that support overall strategic plans of the Case Management and Utilization Review strategy · Lead Group hospital ... Case Management and Utilization Review operations for cost-effective and clinically sound care delivery...Case Management model, staffing and skill mix, complex Case Management, and centralized utilization review ·… more
- RWJBarnabas Health (New Brunswick, NJ)
- …Management/Utilization Management, Discharge Planning, & Community Health Nursing Preferred: + Case Management certification preferred. + Utilization review and/ ... knowledge of current concepts, research needs and research strategies related to case management, utilization review and discharge planning, + Maintains… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... retirement package to secure your future. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester...and continued stay clinical review ; communication with clinical providers to identify quality value… more
- Houston Methodist (Sugar Land, 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 patient ... members of the interprofessional health care team to facilitate care for designated case load; monitors the patient's progress, intervening as needed to ensure that… more