- HCA Healthcare (Lake City, FL)
- …do. We want you to apply! **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that the ... manner. **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + One year experience in... and/or supervisory / management position involving case management / utilization review /responsibility in an acute… more
- Sutter Health (Oakland, CA)
- …case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... management , quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers… more
- Hartford HealthCare (Torrington, CT)
- …convenient, safe and comfortable patient environment. *_POSITION SUMMARY/PURPOSE_* Care Management is a collaborative practice model including patients, nurses, ... physicians, healthcare team members,, caregivers and the community. The Case Management process encompasses communication and facilitates care along a continuum… more
- 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
- 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
- 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
- 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
- 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