- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more
- Community Health Systems (Valparaiso, IN)
- …for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role ... effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to...and other risk factors. + Evaluates patients through chart review , interviews with providers and staff , and… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking to make a real difference...such as utilization review , monitoring and evaluation procedures, and… more
- Sharp HealthCare (La Mesa, CA)
- …Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Professional in ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home… more
- Trinity Health (Silver Spring, MD)
- …healthcare providers to deliver comprehensive care. + Participate in quality, risk, and utilization review processes. + Supervise and teach residents and other ... Demonstrated experience in the development and management of quality, risk, and utilization review processes. + Strong leadership, communication, and analytical… more
- Molina Healthcare (TX)
- …teams including care management, care coordination, transitions of care, utilization management (prior-authorization, inpatient review ), behavioral health, ... services professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring accurate member care ... Supervisor is responsible for the oversight of the case management staff 's authorization/coordination/ utilization and provision of member services. Duties… more
- Northwell Health (Forest Hills, NY)
- …Masters Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification, ... Management, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning,… more