- Baystate Health (Springfield, MA)
- …subordinates as necessary. Resolving routine personnel problems. Authorize and review utilization of home health nursing, social work, occupational, ... looking for a** **Clinical Nurse Manager** **to join our** ** Home Health ** **team!** **Why choose Baystate Homecare?**...speech therapy for medical necessity and appropriateness of care. Review plans of care to ensure functional outcomes and… more
- BAYADA Home Health Care (Orlando, FL)
- …Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ **As an ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by… more
- BAYADA Home Health Care (Austin, TX)
- …leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...review medical necessity and discharge planning) **As a health care organization, we have a responsibility to do… more
- ChenMed (North Miami Beach, FL)
- …work experience required. + A minimum of 1 year of utilization review and/or case management, home health , hospital discharge planning experience ... other case managers and nurses, acute and post-acute facilities, home health care companies, and health...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization ... metrics. Leads the system-wide development of partnerships with payors to support Utilization Management. Collaborates with Castell, Home Care, Clinic Management… more
- Sutter Health (Sacramento, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA...(CMS) preferred. + Post-acute levels of care such as Home Health , Hospice, Advance Illness Management (AIM),… more
- Nuvance Health (Danbury, CT)
- …other duties as required. Education: ASSOCIATE'S LVL DGRE Required: 3 Years of Utilization Review experience(or a certification ACMA, MCG, Interqual) Required : ... *Description* Nuvance Health has a network of convenient hospital and...Non-acute care is offered through various affiliates and the Home Care organizations. Work Type : Part Time Hours… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The ** Utilization Review (UR) Specialist** is a Registered Nurse responsible ... what you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan...experience or a minimum of two years of previous utilization review experience. + Licensure - Must… more
- Ascension Health (Nashville, TN)
- … health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more