- Trinity Health (Boise, ID)
- …treatment goals, optimize resource utilization, provides family education and identification of post- hospital needs. Utilizes physician advisor referral as ... **Shift:** Day Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning… more
- Sharing Hope SC (North Charleston, SC)
- …efforts to deliver in-depth, specialized donation education to all levels of hospital personnel, including physician staff, within assigned hospitals. Ensure ... II is a senior representative of the We Are Sharing Hope SC Hospital Services department, responsible for advancing our mission within high-impact hospitals. This… more
- LA Care Health Plan (Los Angeles, CA)
- …develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service ... cases and reports are maintained and referred to the Physician Advisor /UM Director. Document in platform/system of...hospital setting. At least 2 years of Utilization Management/ Case Management experience in a hospital or… more
- Corewell Health (Troy, MI)
- …on the department need. Position will support the Emergency Center in Troy hospital . Shift coverage needed for days, afternoons and midnights throughout the week. ... of the Patient Access Registration Front Line Manager, the Acute Care Hospital Registrar 1 is accountable to ensure a smooth timely registration/admission process… more
- UPMC (Pittsburgh, PA)
- …requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- Children's Mercy Kansas City (Kansas City, MO)
- …and manages denials for patient status and continued patient stays with Attending Physician , Physician Advisor , Inpatient Nurse Care Manager, and ... US News & World Report as a top pediatric hospital , for eleven consecutive years. Children's Mercy is in...days of hire + One of the following: American Case Management Certification or Certified Case Manager… more
- BJC HealthCare (St. Louis, MO)
- **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** Full-Time **Req ID** : 91446 **Pay Range:** $57,304.00 - $93,288.00 / year ... selected to move forward with Interview Process, a Talent Advisor will contact you via email for a screen...Hospital_** at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of… more
- PeaceHealth (Bellingham, WA)
- …criteria recognized by Medicare. Monitors and documents variance days, communicates with attending physician and UR Physician Advisor as indicated. Documents ... Minimum of 3 years of Clinical nursing experience in an acute care hospital + Equivalent skilled nursing facility, outpatient case management, home health… more
- BJC HealthCare (St. Louis, MO)
- …children's hospitals to rank in the top 25 of all 10 specialties. The hospital 's academic and physician partner, Washington University School of Medicine, is one ... **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** Full-Time **Req ID** :...experience) **Additional Information About the Role** St. Louis Children's Hospital is looking to hire a Hematology Social Worker… more
- Community Health Systems (Gadsden, AL)
- …and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable ... activities under the supervision of a Registered Nurse or physician . This role involves reviewing medical records for appropriateness...hospital days and communicates findings effectively to the UM… more