- University of Michigan (Ann Arbor, MI)
- …position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance ... RN CASE MANAGER : University Hospital ( Care Management) Apply...+ Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management**… more
- ChenMed (North Miami Beach, FL)
- …assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- Molina Healthcare (Tacoma, WA)
- …staff productivity and other performance indicators. + Collates and reports on Care Access and Monitoring statistics including plan utilization , staff ... or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+ years… more
- Community Health Systems (Gadsden, AL)
- …more available for Full and Part-Time role **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by ... Join us as a ** Care Manager - LPN** position at... planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient… more
- Community Health Systems (Bentonville, AR)
- …awards as a best place to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating ... care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient interactions in accordance… more
- Guthrie (Sayre, PA)
- …five (5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management ... for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration… more
- PeaceHealth (Vancouver, WA)
- …to assess, evaluate and teach. (Required) + Knowledge of discharge planning, health care reimbursement, utilization review processes and Medicare admission ... Manager for a per diem role in the Care Management department at Southwest Medical Center in Vancouver,...in collaboration with the healthcare team. Monitor and evaluate utilization of those services to focus on the best… more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... policy guidelines. + Promote safe and appropriate coordination of care and optimal utilization of resources. +...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
- Community Health Systems (Birmingham, AL)
- …for the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Responsibilities include, but are ... not limited to daily review of medical records to determine appropriateness and medical...and payor reimbursement. + Monitors patient's progress to ensure care is streamlined, appropriate, and timely. + Evaluates patients… more
- AdventHealth (Winter Garden, FL)
- …the mind, body, and spirit! **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians ... care coordination and progression through the continuum of care . The RN Care Manager ...needed. + Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan… more