- 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
- 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
- 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
- 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
- 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