- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Utilization Management (UM) Care Manager to join the UM Clinical Operations team. This position will be work from home, but ... preference will be given to Pennsylvania-based candidates. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan… 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 ... Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care **What you will do** + Inpatient & SNF Utilization Management & Care Coordination: + Support proactive hospital discharge planning, transfers, ... providers, caregivers, family, and the patient. + Identify opportunities to improve utilization , quality of care, access issues and physician profiling. + Acts as… more
- Trinity Health (Fresno, CA)
- …the acute care continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization . ... an interdisciplinary team to improve patient care through the effective utilization of the facility's resources. The incumbent makes significant contributions toward… more
- UnityPoint Health (Sioux City, IA)
- …action plans as needed. + Uses and encourages innovation in resource utilization , assures fiscally efficient operations + Monitors outcomes and reviews programs and ... with evidence based practice standards. + Ensure compliance with the state Nurse Practice act, state board of nursing regulations and regulatory agencies standards.… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review, case management, and finance teams, the Intake Coordinator ... services while supporting regulatory compliance, quality assurance, and hospital utilization goals. Responsibilities: + Referral Review & Triage +...+ Must be licensed to practice as a Registered Nurse in the state of North Carolina or one… more
- Baylor Scott & White Health (Temple, TX)
- …patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes ... by effectively managing care and resources to reduce unnecessary utilization . **Location: Temple, TX - Baylor Scott & White...5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse (RN) As a health care system committed to… more
- Community Health Systems (Naples, FL)
- …the planning, coordination, and oversight of care management services, including utilization review, discharge planning, and transitions of care. The role ensures ... to facilitate care coordination, improve outcomes, and support effective resource utilization . **Essential Functions** + Manages the daily operations of the Care… more
- HCA Healthcare (Tallahassee, FL)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient ... processes, for the appropriate level of care, patient status and resource utilization + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- HCA Healthcare (Tallahassee, FL)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient ... the appropriate level of care, patient status and resource utilization + Conducts interdisciplinary team meetings to provide a...within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and… more