- Ascension Health (Baltimore, MD)
- …time of hire. **Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national travel options are ... Day **s** , 40 hours per week + **Hospital:** **Multiple Ascension acute care hospitals** + **Location:** Local and national travel options are available… more
- Martin's Point Health Care (Portland, ME)
- …Nurse required; BSN preferred. + 3+ (total) years clinical nursing experience + Utilization management experience in a managed care or hospital environment ... "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a...timely communications with in and out of network hospitals, post - acute care facilities, other providers, and internal… more
- ChenMed (Philadelphia, PA)
- …care physicians, hospitalists, specialists, social workers, other case managers and nurses, acute and post - acute facilities, home health care companies, ... expeditious discharge, planning to next level of care. The Acute Care Nurse anticipates the need for post...required + A minimum of one (1) year of utilization review and/or case management , home health,… more
- CDPHP (Latham, NY)
- …is required as a Registered Nurse. + Minimum of two (2) years Utilization Management experience is preferred. + Knowledge of coding/claims processing is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical...is responsible for completing inpatient level of care reviews, post - acute care initial and concurrent reviews for… more
- Trinity Health (Albany, NY)
- …in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management certification ... Engage the patient and care team in the joint management of key patient outcomes such as management...disease progression, continued LOS and transition to most appropriate post - acute setting + Be a patient advocate… more
- Trinity Health (Troy, NY)
- …in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management certification (CCM) or ... looking for a position in RN (Registered Nurse) Case Management in a dynamic hospital, this could be your...disease progression, continued LOS and transition to most appropriate post - acute settingBe a patient advocate who is… more
- Prime Healthcare (Lynwood, CA)
- …to compassion, quality, and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the ... admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost...Starting April 1 2015. Minimum 5 years work experience post -graduation of an accredited school of nursing and a… more
- MVP Health Care (Tarrytown, NY)
- …3 years of clinical nursing experience + At least 2 years of experience in utilization management of sub- acute Medicare reviews + Experience with Medicare ... in every interaction **Your key responsibilities:** + Conduct timely and accurate utilization reviews for sub- acute Medicare cases. + Evaluate medical necessity,… more
- Sutter Health (Oakland, CA)
- …22, CHA Consent Manual, CDPH and TJC. + A broad knowledge base of post - acute levels of care and associated regulatory compliance requirements. + General ... Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the… more
- Banner Health (Greeley, CO)
- …and our surrounding multi-state region for more than 100 years. As an ** Acute Clinical** **Staff Pharmacist** at Banner North Colorado Medical Center, **you will ... hours and no medical benefits package is offered.** Completion of post -offer Occupational Health physical assessment, drug screen and background check (includes;… more