- HCA Healthcare (Waycross, GA)
- …in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. **Memorial ... encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- HCA Healthcare (Orange Park, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... apply for our Mental Health Professional III Licensed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more
- HCA Healthcare (Largo, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... apply for our Mental Health Professional III Licensed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more
- HCA Healthcare (Orange Park, FL)
- …experience is required for this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. HCA Florida ... encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- The Hartford (Hartford, CT)
- …+ Case management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred ... clinically appropriate. Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes. Determines when claims contain… more
- STG International (West Seneca, NY)
- …* Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... activities. * Ensure consistency in evidence-based practice standards across the CBOC's. * Implement and attend provider huddles to assure situational awareness of clinic operational limitations and daily work planning. * Function as a director for the CLIA… more
- Sharp HealthCare (San Diego, CA)
- …response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan ... issues.Identifies Bioethical dilemmas and initiates appropriate response.Testifies at Certification Review and Reise hearings regarding patient's current mental health… more
- Sharp HealthCare (San Diego, CA)
- …initiate, and support admissions process per policy and or department guidelines.Complete Utilization Review for admitting and ongoing treatment for patients. ... Do** To provide documentation for discharge planning, psychosocial, treatment plan, UR review , and care coordination for patients. Intake phone calls and assessment… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …+ **Lead & Collaborate:** Chair or co-chair key committees such as Credentials, Peer Review , Operational, and Utilization Review . Partner with clinical staff ... to develop, implement, and champion performance improvement processes. + **Cultivate Strong Relationships:** Build trusted and collaborative relationships with all stakeholders across the hospital/medical center and the Northwest Region, fostering a supportive… more
- 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