- Highland Springs by Erickson Senior 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 ... community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. Knowledge of health care and insurance industries… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... the right time, and in the right setting". The UR CM is responsible for preoperative, concurrent, and retrospective...Care and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in… more
- Trinity Health (Fresno, CA)
- …from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training ... must be obtained within six (6) months of hire into position. 6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required. 7. Excellent communication skills, critical thinking, creative problem-solving skills,… more
- Southeast Health (Dothan, AL)
- …for medical necessity on admission and continued stay in the acute care setting. The UR case manager collaborates with all components of the healthcare ... system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal responsibility, and patient satisfaction. Job Description Essential Functions + Perform admission and continued stay reviews of all inpatients and… more
- ChenMed (Newport News, VA)
- …CCM or DM programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager ** ( _primarily clinic ... expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Elevance Health (Richmond, VA)
- …medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that require the training and skill of a registered nurse. ... HIP, PPL, and Total Member View (TMV) + Prior LTSS/ Case Management, and Service Facilitation experience is preferred. Please...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- WMCHealth (Margaretville, NY)
- Case Manager D-RN Company: Margaretville Hospital City/State: Margaretville, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... Internal Applicant link Job Details: Summary of Job Purpose Case Manager coordinates care and service of...clinical reviews to medical insurance companies as requested. + UR -Collaborates with the Health Information Manager to… more
- Guthrie (Sayre, PA)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
