- Dignity Health (Red Bluff, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- Acacia Network (Bronx, NY)
- …miscellaneous special projects as directed. REQUIREMENTS + Minimum of 2 years of case management and/or utilization review experience + Associate degree ... services are fully integrated, bilingual and culturally competent. POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of… more
- Sharp HealthCare (San Diego, CA)
- …acute care nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California ... Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA);… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and ... position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance… more
- CVS Health (OH)
- …and claims history to address potential impact on current case review and eligibility. + Drives effective utilization management practices by ensuring ... locations in New Albany OH, Chandler AZ or High Point NC.** Precertification Nurse Case Manager is responsible for reviewing medical records to determine the… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...team members; arranges follow up care as appropriate. + Utilization Review - Review prospectively,… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...an acute hospital setting. At least 2 years of Utilization Management/ Case Management experience in a hospital… more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more