- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Manager, Revenue Integrity RN will use collaboration, assessments, training skills, and clinical knowledge to ... and educates clinical departments about charging while promoting revenue integrity. This nurse manager exemplifies the Rush mission, vision and values and acts in… more
- Trinity Health (Philadelphia, PA)
- …Nazareth Hospital, a member of Trinity Health Mid-Atlantic, is seeking an experienced RN Care Manager to join our team in the Emergency Department! **Schedule:** ... plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals. **Minimum Qualifications:** + Bachelor's degree in nursing… more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key ... and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to BH HODs effective utilization of… more
- Carle Health (Urbana, IL)
- …assists the team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during...swing bed patients, maintain the work ques, and address denials . RMH: make follow up appointments with primary care… more
- University of Southern California (Arcadia, CA)
- …accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The Case Coordinator ... of pre-certification and payer authorization processes, facilitation of the collaborative management of patient care across the continuum, intervening as necessary… more
- Beth Israel Lahey Health (Beverly, MA)
- …an accredited school of nursing BSN preferred **Certification/License:** Current Massachusetts RN licensure Certification in Case Management preferred **Pay ... and retrospective review to ensure appropriate utilization, assessment, prevention of denials , and coordination of discharge options. They are required to follow… more
- Beth Israel Lahey Health (Beverly, MA)
- …an accredited school of nursing BSN preferred **Certification/License:** Current Massachusetts RN licensure Certification in Case Management preferred **Pay ... and retrospective review to ensure appropriate utilization, assessment, prevention of denials , and coordination of discharge options. They are required to follow… more
- Beth Israel Lahey Health (Newburyport, MA)
- …school of nursing 2. BSN preferred **Certification/License:** 1. Current Massachusetts RN licensure 2. Certification in Case Management preferred **Pay ... and retrospective review to assure appropriate utilization, assessment, prevention of denials and coordination of discharge options. They are required to follow… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program for… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... case management experience or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more