- University of Rochester (Rochester, NY)
- …Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to identify… more
- Sutter Health (Modesto, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Magellan Health Services (Albuquerque, NM)
- …and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in ... and on-going management of designated staff. + Performs care management review activities consistent with Magellan policies, procedures, and standards. + Conducts… more
- Cedars-Sinai (CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the...the discharge planning function in conjunction with the social worker . Participates in education on and implementation of clinical… more
- Select Medical (Los Angeles, CA)
- …+ Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal ... Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65… more
- HCA Healthcare (Kissimmee, FL)
- …in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse (RN) licensure , Licensed Clinical Social Worker (LCSW) or ... to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of...teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more
- CareFirst (Baltimore, MD)
- …experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications** : + Knowledge and experience ... Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth transition… more
- ChenMed (Columbus, OH)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... completes appropriate paperwork. + Works collaboratively with physicians, nurses, PT, social workers , family and key caregivers to transition the patient to a lower… more
- UnityPoint Health (Waterloo, IA)
- …monitoring and maintaining of hospital and STI goals. Qualifications Education: + Registered Nurse with Bachelor's degree or Social Worker with MSW required ... practice, policies and processes. Collaborates with physicians and other health care workers , to assess, plan, implement and evaluate services in collaboration with… more
- ChenMed (Jacksonville, FL)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... completes appropriate paperwork. + Works collaboratively with physicians, nurses, PT, social workers , family and key caregivers to transition the patient to a lower… more