- Sutter Health (Modesto, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- UNC Health Care (Rocky Mount, NC)
- …insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact ... cost-efficient care of patients through such case management functions as utilization review and discharge planning. May facilitate the execution of existing… more
- International Medical Group (Indianapolis, IN)
- …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... Word and Excel. PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or insurance company + Proficient verbal and written… more
- Sutter Health (San Francisco, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of healthcare… more
- HCA Healthcare (Salt Lake City, UT)
- …sessions as well as conduct psychotherapy process groups. SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining ... more years of clinical experience preferred. + Knowledge of Utilization Review , DRG review , and...encourage you to apply for our Social Worker Case Manager opening. We promptly review all applications.… more
- Crouse Hospital (Syracuse, NY)
- …requirements related to acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical, Dental, Vision, FSA, ... Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for providing day to day...of the RN Care Managers in the department, including Utilization Management, Discharge Planning and Denials and Appeals functions.… more
- Trinity Health (Livonia, MI)
- …and applied criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of regulatory and ... to Join our Remarkable Care Team as a** **Case Manager ** **in the Case Management Department awaits YOU **...accrediting agency standards and regulations relative to utilization review . **BENEFITS AVAILABLE TO YOU AS… more
- Beth Israel Lahey Health (Needham, MA)
- …in case management. 4. Knowledge of discharge planning practices, understanding of utilization review practices including third party payer and insurance plans ... (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical,… more
- Nestle (Gaffney, SC)
- …Operation. Examples would be effective scheduling, labor utilization , material utilization , and operational improvements. + Informs Plant Manager of ... _This position is not eligible for Visa Sponsorship._ **Position Summary:** The Sr Production Manager will assist the Plant Manager in the strategic planning and… more
- Genesis Healthcare (Norfolk, VA)
- …attendance of regularly scheduled facility meetings such as care plan, utilization , review , rehabilitation and quality assurance. 10. Establishes communication ... Clinicians in Action professional development program. Responsibilities The Vent Program Manager is responsible for the efficient management of respiratory therapy… more