- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review, case management, care transition, collaboration with physicians and social workers ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning experience highly preferred. Home care, payer,… more
- HCA Healthcare (Tallahassee, FL)
- …for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more
- Hartford HealthCare (Watertown, CT)
- …individual in this role provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal clinical and operational ... outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on...accredited educational program leading to licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or… more
- Mount Sinai Health System (New York, NY)
- …on reducing the length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice and may require ... Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a… more
- Hartford HealthCare (Southington, CT)
- …individual in this role provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal clinical and operational ... outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on...from an educational program with licensure as a Registered Nurse (RN), Preferred: Bachelor's degree in nursing. Degree from… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …provide a clinical summary of a member's course of illness, history of service utilization and costs incurred. + Analyze provider utilization trends and audit ... concerns that may require additional attention. + Partner with Utilization and Care Management to provide clinical support and...levels of the organization. Education and Experience: + Registered nurse with BSN and 3-5 years in a managed… more
- Baystate Health (Springfield, MA)
- …on admission to identify level of care, potential need for practice guideline utilization , to determine the anticipated LOS and anticipated care needed for each ... management as outlined in the evidence based practice guidelines + Uses Utilization Analysis /Management principles, insures that patient's site of care delivery is… more
- Hartford HealthCare (Southington, CT)
- …individual in this role provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal clinical and operational ... outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on...from an educational program with licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or… more
- Charter Care Health Partners (North Providence, RI)
- …specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management; Continuum of Care Management (Discharge ... planning) and Clinical Documentation Management. Collects data via utilization with Care Port to enhance the quality and...preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in… more
- Charter Care Health Partners (North Providence, RI)
- …specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management; Continuum of Care Management (Discharge ... planning) and Clinical Documentation Management. Collects data via utilization with Care Port to enhance the quality and...preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in… more
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