- Dignity Health (Santa Maria, CA)
- …on discharge + Copies charts for transfers/discharges + Posts lab/radiology results and utilization review summary sheets + Thins ECU and sub-acute charts ... phone communication. Under the direct supervision of a registered nurse or licensed vocational nurse , the Unit...discharges, admissions and transfers + Contributes to the overall management of the unit. + Demonstrates knowledge of office… more
- Baystate Health (Springfield, MA)
- …efficiency, and financial performance. This role also supports discharge planning, ** utilization review ** , group therapy compliance, and coordination of ... LCSWs, LICSWs, and HROs (Human Rights Officer), and collaborates closely with the APTU Nurse Manager to drive clinical excellence, patient satisfaction, operational… more
- University of Miami (Miami, FL)
- …and utilization of data used by all levels of management within the organization.5. Interacts, communicates, and intervenes with multidisciplinary healthcare ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- Catholic Health Initiatives (Bismarck, ND)
- …with family members, community resources, and other healthcare professionals. *Conducts utilization review : Act as a liaison with insurance companies ... **Job Summary and Responsibilities** Empowering Recovery: Registered Nurse (RN) - Partial Hospitalization Program (PHP) **Are...by completing utilization review to ensure coverage for the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill ... opportunities for connecting members to group related benefits; eg Nurse Line, Employee Assistance Program, or other specialists with...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Catholic Health Services (West Islip, NY)
- …+ Ensures compliance with Hospital Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge ... hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning… more
- Baylor Scott & White Health (College Station, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to ... resolution **KEY SUCCESS FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review . Knowledge of human behavior… more
- Texas Health Resources (Dallas, TX)
- …all available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective ... management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed Master...according to department identified criteria to determine the appropriate utilization of resources and patient level of care. Reviews… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Part time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute ... care continuum. This includes discharge planning, utilization management , care coordination collaboration, and support...the facility's resources. 1. Current licensure as a Registered Nurse (RN) in the state of California is required.… more
- Providence (Everett, WA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... and be a part of something extraordinary!The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric...upon hire. + 1 year - experience in care management or utilization review in… more