- Carle Health (Urbana, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- University of Washington (Seattle, WA)
- …in the research, teaching, and providing of professional services for the management of cancer patients undergoing treatment using radiation therapy as the main ... department financial reporting, , including oversight of the grants and contracts finance management , liaison with OSP, and will act as the primary contact for… more
- HCA Healthcare (Thornton, CO)
- …balances the delivery of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness ... of clinical nursing experience in the acute care setting. Prior utilization /quality/discharge planning/and/or case management experience highly preferred. HCA… more
- HCA Healthcare (Orange Park, FL)
- …of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... us apart from any other healthcare provider. We are seeking a **Registered Nurse (RN) Case Manager** to join our healthcare family. **Benefits** **HCA Florida Orange… more
- HCA Healthcare (Savannah, GA)
- …of experience in hospital case management is required. + Certification in case management or utilization review is preferred. + InterQual experience is ... an organization that invests in you as a Registered Nurse (RN) Case Manager? At Memorial Health University Medical...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
- HCA Healthcare (Gainesville, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
- CDPHP (Latham, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing...following** + **Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Magellan Health Services (Albuquerque, NM)
- …the management , direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care ... and on-going management of designated staff. + Performs care management review activities consistent with Magellan policies, procedures, and standards.… more