- MTC (Raymondville, TX)
- …rotation. 4. Refer patients for specialty consultations and treatment through the utilization manager process. 5. Utilize established corporate, facility and ... all potential catastrophic illnesses. 9. Implement basic cost containment and utilization management for patient care and facility operations. 10. Comply with… more
- Guidehouse (Mitchell, SD)
- …and conduct interviewing of potential new hires and bring recommendations to Operations Manager . + Training of new Team Members. + On-going training and mentoring of ... + Identify and communicate trends and issues to Operations Manager & Client. + Works with management in developing...PC skills in a Windows environment. + Knowledge and utilization of desktop applications to include Word and Excel.… more
- Whidbey General Hospital (Coupeville, WA)
- …home health, Hospice, skilled nursing, anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management/ Utilization Plan that integrates the ... time-we'd love to meet you! The RN - Care Manager is a health care professional with experience and...(patient status / level of care) concerns and other utilization mangement concerns to Physician Advisor or… 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 ... timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing… more
- Guthrie (Troy, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in ... of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and… more
- Northwell Health (Forest Hills, NY)
- …and expected length of stay.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization , consultation and ... criteria using established criteria.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization , consultation and… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's… more
- ChenMed (Newport News, VA)
- …programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager ** ( _primarily clinic and community ... expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of… more
- University of Southern California (Arcadia, CA)
- …documents findings based on department standards. + Assist in the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, ... SUMMARY The purpose of the Case Coordinator position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more