- BJC HealthCare (St. Louis, MO)
- …Park. Care Coordination consist of Case Management, Social Services and Utilization Review . The personnel in this office are responsible for discharge ... **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** PRN **Req ID** :...Coeur, MO 63141 + At least 2 years of RN experience + BSN + At least 1 year… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that… more
- Calvary Hospital (Bronx, NY)
- …Calvary Hospital, you're not just getting a job, you're joining a family. Requirements The RN Case Manager (RNCM) will be responsible for all aspects of case ... length of stay (ELOS). The RNCM participates in the Utilization Review , Discharge Planning, Risk Management, and...in nursing or health care related field preferred. + Registered professional nurse , currently unencumbered NYS licensure.… more
- UCLA Health (Santa Monica, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... teams + Knowledge of a large university teaching hospitals Preferred: Strong Utilization Review experience and understanding of CMS and other regulatory… more
- UNC Health Care (Morrisville, NC)
- …People** - Operational oversight of centralized and site-specific UM teams, including utilization review nurses and support staff. Cultivate and empower ... and optimize technology platforms (eg InterQual, MCG, EMR integrations) for efficient case review and documentation. Establish key performance indicators to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' ... in QA activities. Essential Qualifications + Currently Licensed Practical Nurse (LPN) or Register Nurse ( RN...in a clinical environment required. + Previous workers' compensation case management experience a plus. + Strong skills in… more
- WestCare Foundation (Henderson, NV)
- … RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or ... carriers + Read and understand patient/members running chart narrative and respective case notes and be able to disseminate patient needs and professional/clinical… more
- Trinity Health (Boise, ID)
- …service and the highest quality of care. We have a great opportunity available for an ** RN Complex Care Manager** to join our team! As an RN Care Manager with ... accountable care organization (ACO) members with complex condition/illness, high utilization , and/or polypharmacy impacting health outcomes. Coordinates with physicians,… more
- Blue Cross Blue Shield of Massachusetts (Quincy, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Pedi Case Manager The Role The Clinical Care Manager is responsible for facilitating care for ... appropriate goals to promote optimal member outcomes. * Interpret and apply case management criteria, processes, policies, and regulatory standards to create, follow… more
- Amergis (Hyannis, MA)
- Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week ... + EPIC experience + 3 years of acute care case management experience in the last 5 years +...last 5 years + Experience in discharge planning & utilization review + Knowledge of InterQual or… more