- Hackensack Meridian Health (Edison, NJ)
- …Care Life Support HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), ... and serve as a leader of positive change. The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for… more
- Mayo Clinic (Phoenix, AZ)
- …appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within ... achieve quality clinical , financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/… more
- Northwell Health (Staten Island, NY)
- …year related experience, required. Experience in case management and clinical pathways, variance analysis and trending, quality management/ utilization review ... a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement...Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient. + Ensures case… more
- Sedgwick (Columbus, OH)
- …(2) years of direct clinical care **OR** two (2) years of case management/ utilization management. **Skills & Knowledge** + Knowledge of pharmaceuticals used ... Performs clinical assessment via information in pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications… 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 ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… more
- Northwell Health (Forest Hills, NY)
- …a case management intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of stay.Discusses with ... clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job Responsibility 1. Coordinates and facilitates patient… more
- Dignity Health (Red Bluff, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... nursing. + Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC HealthCare is seeking a Product Utilization Manager to join our team to assist with the operating ... room and nursing product lines. This individual will be handling clinical engagement for product lines under OR and nursing products and serving as a point of… more
- Trinity Health (Des Moines, IA)
- …UM Lead is responsible for overseeing day-to-day activities within the Utilization Management (UM) department, including staffing, assignment management, and serving ... This role involves collaboration with the Director of Care Coordination/ Case Management and a multidisciplinary team. **Essential Functions:** + Understands,… more
- Mayo Clinic (Jacksonville, FL)
- …appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within ... achieve quality clinical , financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/… more