- AdventHealth (Hinsdale, IL)
- …care escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION… more
- Hunterdon Health Care System (Flemington, NJ)
- …of a comprehensive transition of care model to ensure the appropriate utilization of resources, provision of discharge planning services and social work services. ... team in the assistance, facilitation and coordination of discharge planning and utilization of all potential resources. 4. Ensure the discharge plan is specialized… more
- BJC HealthCare (St. Louis, MO)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... hospital-based RN experience (ideally in a Med/Surg environment) + Prior Case Management experience **Overview** **Missouri Baptist Medical Center** , an acute care… more
- Jabil (St. Petersburg, FL)
- …day-to-day operational activities focusing on change, configuration, incident and problem management , leading to service level management , service and software ... standards, policies, business roles and procedures. Maintain concise process management documentation and ensure process information repository is complete and… more
- AdventHealth (Parker, CO)
- …care escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for ... Certified Case Manager (CCM) + Accredited Case Manager (ACM) + Experience in utilization management or case management This facility is an equal opportunity… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care ... Coordinators facilitate care management and utilization review by performing data...and document any concerns, complaints and/or issues with direct supervisor . + Demonstrates a kind, caring, sympathetic and positive… more
- Sharp HealthCare (San Diego, CA)
- …regulations. + ICD-9, RVS and CPT 4 coding. + Basic computer functions. + Basic utilization management . + Accurately type or on-line key 35-40 wpm. + Organize ... to assure compliance.MEASUREMENT:Knowledge of identification of non-compliance reported to management immediately. No formal corrective action meets standard. +… more
- Outreach Development Corporation (Brentwood, NY)
- …Director/Clinical Coordinator is responsible for assisting the Site Director with the management of the administrative and clinical components of the program in a ... 24-hour on-call capacity. Job Scope Leadership and Program Management : + Manages all the daily operations of the...+ Facilitates case conferences, level of care assessments and utilization review in a timely manner and maintains record… more
- BJC HealthCare (St. Louis, MO)
- …of Patient Care Services. The CM Service is comprised of three departments: Case Management , Utilization Management , and Social Work. Through the Triad Model ... to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to… more
- Billings Clinic (Billings, MT)
- …care. * Maintains respectful and professional communication skills. Insurance and Utilization Management *Maintains working knowledge of CMS requirements and ... leadership, the RN Care Manager provides services consisting of comprehensive care management , care coordination and care continuing care services. Accountable for a… more