- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * Five (5) years of experience in care management , utilization management , discharge planning, care coordination, ... operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social… more
- Guthrie (Sayre, PA)
- …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... and community providers. a) Works closely with the Medical Director and other members of the healthcare team to...admissions and short procedures by translating clinical information to Utilization Management requirements using pre ‐ determined… more
- Community Health Systems (Valparaiso, IN)
- … is responsible for the planning, coordination, and oversight of care management services, including utilization review, discharge planning, and transitions of ... care, cost efficiency, and patient outcomes. + Prepares and delivers reports on utilization , care management performance, and variance from expected outcomes to… more
- Mount Sinai Health System (New York, NY)
- …are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- St. Luke's University Health Network (Phillipsburg, NJ)
- …management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... The RN Care Manager coordinates the overall progression of care, resource utilization , and discharge planning for designated patient populations across the continuum… more
- Genesis Healthcare (Beverly, MA)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Virginia Mason Franciscan Health (Burien, WA)
- …The Physician Advisor will conduct clinical reviews on cases referred by case/ utilization management and/or other healthcare professionals in accordance with ... related to quality care of patients, regulatory compliance, and utilization management (including LOS). 4. The Physician...in review of long-stay patients, in conjunction with the Director /Manager of Case Management and to facilitate… more
- Corewell Health (Royal Oak, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... managing a case load of patients that includes facilitating utilization management , and/or care coordination during the...care. Uses defined resources to guide decisions, including Medical Director Care Management , Physician Advisors, and … 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 specialists to ... return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed.… more
- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Participates in InterQual competency testing as requested by department director . + Outcomes Management * Participates in...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more