- Northwell Health (Staten Island, NY)
- …care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. +… more
- Community Health Systems (Valparaiso, IN)
- …Management is responsible for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and ... efficiently, effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to ensure… 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 ... employing over 160,000 crew members. **Essential Functions:** + **Case Management Oversight** + Manage and review cases,...schedule for crew medical support. + Support the Senior Manager of Case Management in developing 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 ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as… more
- Providence (Santa Rosa, CA)
- …with management , medical staff and medical center personnel. Provides payor/ utilization review organizations with concurrent retrospective utilization ... **Description** **Care Manager RN - Case Management at...center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards.… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the...interdisciplinary team members; arranges followup care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and… more
- Burns & McDonnell (Conshohocken, PA)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with the engineering team to establish the development ... **Description** The Construction Project Manager supports the Engineer Procure Construct Project Manager or Program Manager to oversee day-to-day operations… more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of ... + Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case … more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. ... care, or may concentrate on one aspect of case management , depending on the area assigned. In collaboration with...Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager … more