- WellSpan Health (Chambersburg, PA)
- **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities**… more
- Guthrie (Sayre, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Atlantic Health System (Summit, NJ)
- …team to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor ... of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary… more
- Atlantic Health System (Pompton Plains, NJ)
- …team to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor ... of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary… more
- WellSpan Health (Lebanon, PA)
- …hours Every-5th weekend **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews… more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients'… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...an acute hospital setting. At least 2 years of Utilization Management/ Case Management experience in a hospital… more
- Beth Israel Lahey Health (Cambridge, MA)
- …care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge ... planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit… more
- CareFirst (Baltimore, MD)
- …Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:** ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
- St. Luke's University Health Network (Easton, PA)
- …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... management, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all… more