- 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
- Garnet Health (Harris, NY)
- …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... to supporting your career growth and professional potential. We are responsive, attentive and dedicated to the success and satisfaction of our team members. Here, you'll find resources that will help you excel in your career, tuition reimbursement programs for… more
- VNA Health (Santa Barbara, CA)
- …inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and reports in ... a timely manner. + Applies working knowledge of state, federal local and accreditation regulations for the delivery of hospice services. + Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition. Records pain,… more
- CVS Health (Springfield, IL)
- …Qualifications** + Case management and discharge planning experience. + Managed care/ utilization review experience. + Crisis intervention skills. + Strong ... analytical and problem-solving skills. + Effective written and verbal communication skills. + Strong organizational and interpersonal skills. + Ability to work independently while collaborating effectively with interdisciplinary teams. + Proficiency with… more
- Sedgwick (Denver, CO)
- …state and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships + Performs ... other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** Education and Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional… more
- Intermountain Health (Billings, MT)
- …experience and all aspects of the Intermountain Operating Model. Participates in utilization review audits. + Meetings: Participates in patient care conferences, ... interdisciplinary meetings, staff meetings, and necessary professional and work groups in collaboration/consensus with leader. + Program Development and Marketing: Contributes to program development and marketing strategies to grow the physical therapy program… more
- Sedgwick (Phoenix, AZ)
- …state and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. + Performs ... other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS & LICENSING** **Education & Experience** Bachelor's degree from an accredited college or university preferred. Will be required to obtain… more