- Northwell Health (Staten Island, NY)
- … management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps ... concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + Contacts… more
- Northwell Health (Forest Hills, NY)
- …a case management intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of stay.Discusses with ... Patient Discharge Instruction Sheet.Completes and facilitates completion of the Patient Review Instruments (PRI) with other disciplines.Completes case management… more
- University of Southern California (Los Angeles, CA)
- …understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services...5 years Clinical experience + Req 2 years Ambulatory case management or utilization review … more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… more
- Highmark Health (Pittsburgh, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- Arnot Health (Elmira, NY)
- …to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... Job Description CASE MANAGER - Up to $10,000 Sign...Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Access Dubuque (Dubuque, IA)
- …Dubuque office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. ... Bilingual RN Case Manager **Cottingham & Butler/ SISCO**...preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review … more
- Highmark Health (Monroeville, PA)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer...CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case … more
- UNC Health Care (Raleigh, NC)
- …through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... **Description** **_Our Case Management Team is seeking an experienced full...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… 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 ... to offer. Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care,… more
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