- Guthrie (Troy, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... Position Summary: The Acute Case Manager utilizes industry accepted processes...care setting with strong care management, utilization review , and payer knowledge. A Case Management… more
- CareFirst (Baltimore, MD)
- …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
- Mayo Clinic (Rochester, MN)
- …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential...you to apply for our RN Case Manager Part Time opening. We promptly review … more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... opportunity to make a real impact. As a(an) RN Case Manager you can be a part...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,...continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively identifies… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
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