- ChenMed (Philadelphia, PA)
- …years' clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care...patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with… more
- University of Southern California (Los Angeles, CA)
- …to multi-task. Preferred Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three years ... The RN case manager role integrates the functions of utilization management , quality management , discharge...preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life… more
- WellSpan Health (Lewisburg, PA)
- …leadership and Medical Group practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon ... safety and efficient care. Assists the Director of Clinical Operations in management of staff to deliver high quality, patient-centered care. Assists with directing… more
- HCA Healthcare (Tallahassee, FL)
- …in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most… more
- Rochester Regional Health (Rochester, NY)
- …in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews ... efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with physicians ... experience in a hospital environment preferred. + Previous case management , utilization review , and discharge...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- HCA Healthcare (Englewood, CO)
- …identified patient and family needs with the efficacious and cost effective utilization of resources. Through concurrent clinical case management , patients will ... licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure, or LCSW...you, we encourage you to apply for our Case Management Manager opening. Our team will promptly review… more
- CareFirst (Baltimore, MD)
- …Licensure. **Experience:** 3 years Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient ... This role will assist leadership with the development and review of Care Management standards, program criteria, policies, and procedures to ensure quality… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers (APPs) in a distinct clincial service line. ... development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse… more