- Montrose Memorial Hospital (Montrose, CO)
- …preferred. + Minimum work experience: Three (3) years' experience working within case management , utilization management or denial management . Experience ... Analyst is a key contributor within the interdisciplinary Denial Management Program and is responsible for completing, tracking, and...write-offs. All About You : + ASN Degree in Nursing or other relevant healthcare field. Bachelor's in … more
- Hartford HealthCare (Hartford, CT)
- …continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning ... years acute-care, and diversified clinical nursing experience, including medical/surgical nursing is required; case management , home care, and/or managed… more
- Select Medical (Harrisburg, PA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Select Medical (Hummelstown, PA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Select Medical (Dublin, OH)
- …within the allotted time frame; assuring payments of services meeting patient-related utilization management criteria, and implementation of safe and appropriate ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Highland Hospital (Rochester, NY)
- …the OB RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... in NYS. BSN preferred. Experience: Three to five years of professional nursing experience. Outpatient OBGYN nursing experience preferred. Progressive clinical… more
- MTC (Livingston, TX)
- …are accurate and recopied as required. 4. Practice basic cost containment and utilization management for patient care and facility operations. Perform quality ... Time Off (PTO)** + **Paid Holidays** **Backed by national accrediting organizations, Management & Training Corporation (MTC) Medical staff are dedicated to providing… more
- AdventHealth (Denver, CO)
- …+ Performs duties of the clinical supervisor, intake, scheduling, quality review, utilization management , and medical records functions as needed. + Works ... implementing cost-optimization and reimbursement strategies. + Oversees contract service management , including payer credentialing updates. + Ensures daily operations… more
- United Methodist Communities (Ocean City, NJ)
- … experience. + Experience with RAI/MDS completion, reimbursement, and clinical resource utilization and/or case management . + 3-5 years of related experience ... including RAI/MDS completion, reimbursement and resource utilization /case management preferred. + Holds a current and unencumbered license form the New Jersey… more
- Guthrie (Corning, NY)
- …in the State of practice. Certification within area of expertise or practice preferred ( Nursing Management , CCRN, CEN, etc.) BSN required within 3 years of hire. ... Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1.RESOURCE UTILIZATION : + Considers… more