- BriteLife Recovery (Hilton Head Island, SC)
- …Director, and BHT Supervisor to deliver excellent client care. + Works with Utilization Review Department to address billing needs. Responds to inquires from ... billing promptly. + Participates in the recruitment and interview process for clinical staff. + Completes performance appraisals for clinical staff on an annual basis and works with Human Resources on employee performance management throughout the year. +… more
- Athena Health Care Systems (Middletown, CT)
- …of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to the State database. + Prints ... and files MDS, CAAs and care plans. + Retrieves QM reports and emails to facility and Athena staff. + Reproduces care plans that have been edited by interdisciplinary team members. + Tracks and schedules all Medicare certifications and recertification. + Mails… more
- Cleveland Clinic (Warrensville Heights, OH)
- …of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement + Adult in-patient hospital or Med/Surg experience **Physical Requirements:** + Requires full range of motion, manual and finger dexterity and eye-hand coordination. +… more
- Nuvance Health (Carmel, NY)
- …years RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... Location: Carmel-PHC 670 Stoneleigh Avenue Work Type: Full-Time Standard Hours: 37.50 FTE: 1.000000 Work Schedule: Day 10 Work Shift: This is a Monday thru Friday position with rotating weekends. 8am-4pm Org Unit: 1168 Department: Care Coordination Exempt: Yes… more
- KBR (Fort Benning, GA)
- …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... risk management issues in order to improve practice, and ensure compliance. + Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines in order to ensure an evidence based standardized process of care to military beneficiaries. + *Knowledge of… more
- Elara Caring (Topeka, KS)
- …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical phone inquiries. ... + Notifies supervisor of any problems requiring administrative attention and intervention. + Processes and distributes in and out daily mail for the department, collects and maintains inventory, and cleans equipment. + Implements all available actions to… more
- Dartmouth Health (Bennington, VT)
- …Three-Five years of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management preferred. VT ... Nursing License required by date of employment. Case Management Certification required within 2 years of employment. * Area of Interest:Nursing; * Pay Range:$36.00-$46.00; * Work Status:8am-4:30pm; * Employment Type:Full Time; * Job ID:6062 Dartmouth Health is… more
- Ascension Health (Pensacola, FL)
- …of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. + **Certification:** ... Current Case Manager certification from a recognized body, such as the American Case Management Association (ACMA) or the Commission for Case Manager Certification (CCMC). **Why Join Our Team** Ascension Sacred Heart is a leading provider of high-quality… more
- Cleveland Clinic (Stuart, FL)
- …year of eligibility (CTM, ACM or CCM) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement **Physical Requirements:** + Requires normal or corrected hearing and vision to normal range. + Ability to perform work in a stationary position for extended periods. +… more
- Trinity Health (Montgomery Village, MD)
- …+ Experience in the development and management of quality, risk, and utilization review processes. + Demonstrated leadership, communication, and analytical ... skills **Reports to:** Chief Medical Officer **Pay Range:** **$62.00- $120.19** Pay is based on experience, skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly… more