- Emory Healthcare/Emory University (Atlanta, GA)
- …conveying an impression which reflects favorably upon the organization. In collaboration with Utilization Review , the SW CM (PRN) will initiate and facilitate ... with the patient/family as well as the care team. Through continuous assessment and review , the SW CM (PRN) will apply critical thinking to ensure alignment and… more
- KBR (San Diego, CA)
- …compliance in meeting care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... current notes in the electronic medical records of all patients contacted for review by the managing physician; Routinely staffs difficult cases with the referring… more
- HCA Healthcare (Wichita, KS)
- …of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred **For more ... encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- HCA Healthcare (Kansas City, MO)
- …patient needs. **What you will do in this role:** + Responsible for utilization review , discharge planning and care coordination with the patient, patient's ... to apply for our RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the… more
- Insight Global (Coleman, FL)
- …* Manage and document medical records for off-site referrals * Facilitate weekly Utilization Review Committee meetings * Provide general clerical support * ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Trinity Health (Davenport, IA)
- …Basic Life Support Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual ... Physicians/Medical Office Staff, Students/Interns/Residents/Outside Instructors, Third Party Payors/Insurance Companies, Auditors/ Review Agencies. POSITION SPECIFICATION Education: Bachelor's Degree Field Of… more
- Cardinal Health (Lander, WY)
- …and team members of the clinic. + Comply with all credentialing, quality assurance and utilization review criteria that are adopted by the Company. + Adhere to ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Elevance Health (Tampa, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... (Saturday and Sunday). The **Medical Management Nurse** will be responsible for review of the most complex or challenging cases that require nursing judgment,… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies… more
- Logan Health (Kalispell, MT)
- …+ Provides triage coverage and assistance per department protocol. + Performs utilization review and/or caring contacts, call backs, and discharge activity. ... + Drug Screening + Health and Immunizations Screening + Physical Demand Review /Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer… more