- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. ... care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the...of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred. + Post - acute levels of care such as Home… more
- Houston Methodist (The Woodlands, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated...managed care reimbursement. + Understanding of pre- acute and post - acute venues of… more
- Cambridge Health Alliance (Somerville, MA)
- …and continued stay. With the patient, family and health care team, create a post - acute care plan appropriate to the patient's needs and resources and facilitate ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville...this transition in concert with that patient's inpatient and post - acute care teams. Qualifications/Experience: + Education: Bachelor… more
- Blue KC (KS)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... within Medical Management , eg, medical policy, credentialing, utilization management , case management , patient...+ years or experience in direct clinical patient care post -residency or fellowship training. + Board certification in an… more
- Cambridge Health Alliance (Everett, MA)
- …and continued stay. With the patient, family and health care team, create a post - acute care plan appropriate to the patient's needs and resources and facilitate ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett...this transition in concert with that patient's inpatient and post - acute care teams. Qualifications/Requirements: + BSN preferred… more
- Mohawk Valley Health System (Utica, NY)
- …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... and follow-up for assigned patients who require medication reconciliation, adherence assessment, management of acute and chronic disease states, assessment of… more
- Banner Health (Glendale, AZ)
- …25 direct reports, including Masters level/licensed social workers and counselors, utilization management team members and Transitional Care Navigators. The ... on-site full-time position M-F. Our 156-bed campus provides inpatient acute behavioral health care for adolescents and adults. Our...state. Requires extensive knowledge in the areas of case management , utilization management , and/or social… more
- Carle Health (Champaign, IL)
- …for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the...into critical benchmarks such as length of stay, readmissions, post - acute care metrics, etc.. About Us **Find… more
- Munson Healthcare (Traverse City, MI)
- …- Acute Coordinators to monitor and facilitate the progress of completing complex post - acute services + Interface with utilization review specialists to ... skills at all times. + Maintains working knowledge/experience in utilization management , managed care, and payer issues...resource center and providers to determine patient's eligibility for post - acute services + May assist in training… more
- Catholic Health Initiatives (Little Rock, AR)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute ... engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or… more
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