- ChenMed (Richmond, VA)
- …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...aspects of healthcare delivery. + Promotes effective and efficient utilization of clinical resources and mobilizes resources… more
- Community Health Systems (Franklin, TN)
- …and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist. + Monitors and updates case management software with ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management...activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations for hospital admissions… more
- Mount Sinai Health System (New York, NY)
- …as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years experience ... **Job Description** **RN/ Case Manager MSH Case ...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/ clinical areas… more
- Behavioral Center of Michigan (Warren, MI)
- …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …coordinate the care for a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager , nurse, and other members of the treatment ... and serve as a leader of positive change. The ** Utilization Management Coordinator** utilizes clinical knowledge and...ACCESS center staff and PFS department to ensure appropriate utilization of resources and benefits on a case… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles,...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- WellSpan Health (Lebanon, PA)
- …Recent acute care experience required + Field of Emergency Department Experience in Utilization Management, Case Management, or Clinical Nursing Specialty ... & 1 minor holiday **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of… more
- WellSpan Health (Lewisburg, PA)
- …+ 2 years Recent acute care experience Required + Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred ... weekend coverage **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** **RN/ Case Manager (Inpatient) Mount Sinai Morningside...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/ clinical areas… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more