- University of Rochester (Rochester, NY)
- …Directs patients to appropriate hospital resources (social worker, financial case manager , care coordinator, etc). Collaborative Communication: ... As Scheduled Department: 500182 Interpreter Svcs-Sign Language Work Shift: UR - Rotating (United States of America) Range: ...UR - Rotating (United States of America) Range: UR URG 115 H Compensation Range: $46.57 - $69.85… more
- Sharp HealthCare (San Diego, CA)
- …Care Management program that includes initial and concurrent review; case management/discharge planning activities. Responsible for operational planning consistent ... in collaboration with regional medical directors, ambulatory care managers and hospital case management departments. Participates in the development of the annual UM… more
- CareFirst (Baltimore, MD)
- …Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:** ... ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We… more
- Atlantic Health System (Morristown, NJ)
- …($.70) included. Internal referral bonus: $4,000 Reports to: Assistant Manager Duties & Responsibilities: Performs Patient assessments. + Accurately assesses ... necessary + Documents patient education tools used Assumes responsibility for Case Management. + Develops/implements/evaluates plan of care based on evidence-based… more
- Cleveland Clinic (Cleveland, OH)
- …and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + Document appropriately ... in UM notes to provide evidence that the UR process for the case was followed. Minimum qualifications for the ideal future caregiver include: + **A caregiver in… more
- Rising Medical Solutions (Chicago, IL)
- …Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally ... participating providers + Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and...the allotted timeframe, vs. a reconsideration, vs. a new UR + Basic invoicing + Continually improve job skills… more
- AccentCare, Inc. (Waco, TX)
- …and resolves payroll and billing questions under direction from the Client Service Manager * Functions as liaison for Field Supervisors in communication with payer ... Case Management teams * Supports recruiting and onboarding needs...client visits by Field Supervisor * Assists Client Service Manager in the presentation of staff training related to… more
- Providence (Mission Hills, CA)
- …in a remote UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree in Nursing. + Master's Degree ... in Nursing. + Experience working with Interqual guidelines. + Experience in a multi-hospital and/or integrated healthcare system. **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing… more
- Sharp HealthCare (San Diego, CA)
- …the patient's well-being while on service and upon completion of service.Collaborates with Case Manager for referrals/transition of therapy needs with the local ... requirements.Meets productivity standards established by department leadership .Participates in UR /QA chart review and activities. + Patient care Evaluates and… more
- UnityPoint Health (Des Moines, IA)
- …evaluation of patient-focused care for prioritized patients . + Documents the case management plan to include: clinical needs, barriers to quality care, effective ... report. + Ensure verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at transition. +… more