- Prime Healthcare (Elgin, IL)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and ... Responsibilities The working Manager of Case Management is responsible...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... underutilization, q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements and… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing...in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical… more
- Burns & McDonnell (Akron, OH)
- …Engineer Procure Construct (EPC), Construction Management , Construction, and Program Management projects. The Project Manager leads projects from inception ... **Description** The Project Manager will lead and motivate a team in...will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost control, contracts,… more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Preferred Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three years preferred.… more
- Calvary Hospital (Bronx, NY)
- …and identify the expected length of stay (ELOS). The RNCM participates in the Utilization Review , Discharge Planning, Risk Management , and Quality Assessment ... The RN Case Manager (RNCM) will be responsible for all aspects...new admissions to identify patients where utilization review , discharge planning, and/or case management will… more
- ChenMed (Houston, TX)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Integra LifeSciences (Princeton, NJ)
- …pathways to advance patient outcomes and set new standards of care. The Manager , Contracts and Vendor Management , is responsible for overseeing the Information ... System's contract lifecycle and software asset management strategy. This role ensures compliance with best practices, legal and regulatory requirements, optimizes… more
- HCA Healthcare (Nashville, TN)
- …we encourage you to apply for our Manager Enterprise Content Management Solutions opening. We promptly review all applications. Highly qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a Manager Enterprise Content Management Solutions you want with your current employer?… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management (Inpatient) - Per Diem (8-hour day shifts) - Marina Hospital **Department**… more