- HCA Healthcare (Orange Park, FL)
- …Case Management is required for this PRN role.** + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
- Dignity Health (Rancho Cordova, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... Joint Commission standards. **Preferred Qualifications:** - Accredited Case Manager, Case Management Nurse , and/or Certified Case Manager preferred. - Bachelors… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support operational areas, ... goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner.… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- CDPHP (Latham, NY)
- …with Medicaid Long Term Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the New York State ... Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York… more
- Cedars-Sinai (Los Angeles, CA)
- …and financial management skills, including effective expense reduction, utilization management , budget control and revenue generation. Compensation Range ... and promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based… more
- UnityPoint Health (Cedar Rapids, IA)
- …patient population, ensuring that adequate discharge plans are in place, and completing utilization management and quality review activities. The PCC teams ... with UnityPoint Health. Responsibilities Clinical Excellence + Maintains knowledge of utilization management criteria and communicates with UM Coordinator to… more
- Atlantic Health System (Morristown, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team...professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical Center. This is a… more
- LifeCenter Northwest (Bellevue, WA)
- …Organ Procurement, assumes responsibility for donor clinical assessment, donor management , organ allocation, and procurement. Leadership Responsibilities + Provides ... and evaluation of all aspects of donor clinical assessment, donor management , organ allocation, and organ procurement. + Supports LifeCenter Northwest's (LCNW)… more