- Wellpath (Lemoyne, PA)
- …from an accredited School of Nursing or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management ... education, and point of care support. **About this role** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional… more
- Nuvance Health (Norwalk, CT)
- …7. Provides input to Patient Care Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. 8. ... flexible based on need, occasional weekends* *Required: CT State RN License* At Nuvance Health, we enjoy the benefits...- we are its center. Summary: Supports Patient Care Manager in implementation and monitoring of the patient care… more
- Bon Secours Mercy Health (Lima, OH)
- …are recognized for clinical and operational excellence. **Summary** The Clinical Manager is accountable for quality patient care, efficient financial and resource ... utilization , staff development, and coordination of interdepartmental activities on...accordance with hospital and other regulatory standards. The Clinical Manager communicates formally and informally with the Senior Nursing… more
- Randolph Hospital (Asheboro, NC)
- …accredited school of nursing, BSN preferred. Current NC license to practice as a RN . Previous training in utilization management or discharge planning ... cost effective, health care. Performs all aspects of discharge planning and utilization management for the patients in their assigned area, which will include… more
- Community Hospital Corporation (Paducah, KY)
- …structure, chain of command, assuring that all nursing services are provided or supervised by a registered nurse , and that there is at least one registered ... + Must possess and maintain current licensure as a Registered Nurse in the State of assigned...of two years nursing management experience. Nursing management experience will consider roles as nursing manager… more
- Penn Medicine (Philadelphia, PA)
- …of Obstetric Anesthesia and Perinatology Center of Excellence Award Summary: + Assists Nurse Manager by assuming 24-hour accountability for the operation of the ... the principles of Relationship Based Care and effective communication. * Supports the Nurse Manager in establishing/updating processes and work practices for the… more
- Select Medical (St. Louis, MO)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Venture Between Select Medical and SSM Health **Position:** Case Manager **Location:** Richmond Heights, MO **Schedule:** PRN 2-3 days...Social Work or in a clinical or related discipline ( RN preferred), per state guidelines for case management… more
- Healthfirst (NY)
- **Duties/Responsibilities:** Provide strategic oversight and operational management for all utilization management functions, including prior authorization, ... for audits, performance improvement plans, and corrective actions related to utilization management Foster a culture of accountability, professional development,… more
- Catholic Health Services (Smithtown, NY)
- …patients across the acute care continuum. + Performs required activities for utilization management , PRI assessment and completion, transition planning, and ... clinical medical/surgical or specialty experience required. + 2-3 years' Utilization Management , Performance Improvement, Transition Planning and/or Care… more
- Hartford HealthCare (Newington, CT)
- …foundation for clinical triage and placement decisions and communications. Reports to the Manager of Bed Management . *_Key Areas of Responsibilities_* * _Patient ... balance. Every moment matters. And this is /*your moment.*/ **Job:** ** Management * **Organization:** **Hartford HealthCare Corp.* **Title:** *Bed Manager /… more