- Sanford Health (Bemidji, MN)
- …outcomes based on an integration among established clinical, financial and utilization data. Feels comfortable functioning in structured and unstructured health care ... the various disciplines and agencies/stakeholders, including managed care organization case managers involved in the treatment plan. **Qualifications** Bachelor's… more
- Cleveland Clinic (Vero Beach, FL)
- …one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care ... eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review, quality or care management + Knowledge of acute care and accreditation… more
- Nuvance Health (Danbury, CT)
- …and social well being of the client within Agency policy. Supports utilization of medical resources through application of clinical expertise. Monitors clinical, ... termination of care when goals of management are attained, or when termination of case is required according to Agency policy. 6. Participates in the agency quality… more
- Sutter Health (San Francisco, CA)
- …Care at Home - Bay **Position Overview:** Under the supervision of the Clinical Manager , the Primary Care Clinician (PCC) is an experienced RN who is responsible for ... of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency...staff related to specific expertise as requested by Clinical Manager . The Primary Care Clinician reports directly to the… more
- Essentia Health (Duluth, MN)
- …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is ... meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. **Education Qualifications:** Educational… more
- Avera (Rock Valley, IA)
- …where you matter.** **A Brief Overview** Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary ... with the patient. + Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols… more
- Logan Health (Whitefish, MT)
- …| Strive for Excellence. Logan Health Whitefish is looking for Care Manager to provide seamless discharge planning and coordination! Logan Health Whitefish is ... in identifying resources to meet patient/family needs. + Provides Utilization Review services, monitors resource consumption, census levels, and regulatory… more
- Sutter Health (Santa Rosa, CA)
- …established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency ... be able to meet company productivity standards as indicated by organization and manager . Objectively and effectively solves unique problems as they arise or identify… more
- Mohawk Valley Health System (Utica, NY)
- …comprehensive care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, ... Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties… more
- Avera (Sioux Falls, SD)
- …to the patient including expected outcomes, including efficient and effective utilization of resources to achieve positive outcomes. + Manages the plan ... of care according to the patient needs and disease protocols including coordination and referral to home care agencies for home visits. + Provides follow-up outbound phone call assessment and assures appropriate referrals between services upon discharge from… more