- UnityPoint Health (Cedar Rapids, IA)
- …home care. Responsible for case coordination of patients and insurance precertification/ utilization review . Patients served include adult and geriatric. St. ... Coordinates cases with community agencies, referral sources. + Manages utilization review for own patients with insurance...Current licensure in good standing to practice as a Registered Nurse in [type in State]. +… more
- Saint Luke's (Lees Summit, MO)
- …plans, directs and implements all services related to case coordination, concurrent review , and utilization management programs, ensuring compliance with ... Capacity Leadership Team for the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new role as Case … more
- ChenMed (Newport News, VA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Northern Light Health (Ellsworth, ME)
- …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Associate's Degree Working Conditions + ... Northern Light Maine Coast Hospital Department: Care Management Position is located: Northern Light Maine Coast Hospital Work Type: PRN Hours Per Week: No Hours… more
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... patient staffing's and special care conferences. Assist with designated management duties in a leadership role. The patients served...Current licensure in good standing to practice as a Registered Nurse in Iowa. . Must possess… more
- CommonSpirit Health (Phoenix, AZ)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level...with department manager and director the outcomes of the review and any identified issues or barriers. **Core Duties:**… more