- Sutter Health (Modesto, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care , and observation status. Awareness ... experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside...to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced… more
- Geisinger (Wilkes-Barre, PA)
- …to build a rewarding, lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact. Apply to learn more, we ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...to hearing from you! Job Duties The RN Case Manager assesses, plans, implements, coordinates, monitors and evaluates all… more
- Charter Care Health Partners (North Providence, RI)
- …population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge planning) ... that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly preferred. Must… more
- Providence (Medford, OR)
- **Description** ** Care Manager RN at Providence Medford Medical Center in Medford, OR.** **Full-Time/ Day Shift** The RN Case Manager is an expert ... for an entire patient case load. The RN Case Manager may perform assessment, treatment or care ...population focus. Duties also include complex discharge planning and utilization review . Providence caregivers are not simply… more
- LifePoint Health (Rutherfordton, NC)
- …adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care ... staff in UR standards and LOS topics. Insures effective Utilization Review Process.1. Performs admission and concurrent...initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Nurse Care Manager 1 works with physician practices and inpatient teams to promote ... the effective utilization of services and coordination of care ...adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's… more
- Henry Ford Health System (Detroit, MI)
- …Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of CMS, ... 2 years RN Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager...resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: +… more
- McLaren Health Care (Petoskey, MI)
- …of professional experience in RN patient care and case management and/or utilization review QUALIFICATIONS PREFERRED + Master's degree in business or a ... and minor equipment purchases. + Fosters smoothly running case management and utilization review services and processes through timely and effective resolution… more
- Tenet Healthcare (Detroit, MI)
- …of Michigan - Troy and six ambulatory sites. Job Description: The RN Case Manager is responsible to facilitate care along a continuum through effective resource ... coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to… more
- UPMC (Pittsburgh, PA)
- …with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and ... UPMC Health Plan is hiring a flex full-time UM Care Manager to support our UM Clinical...appropriate setting and cost - effective manner. **Responsibilities:** + Review and document clinical information from health care… more