- St. Luke's University Health Network (Allentown, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- UPMC (York, PA)
- …leadership required.KNOWLEDGE AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and ... or UPMC approved certification required. + Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW)...Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN) + Act 34 *Current licensure either in… more
- Amergis (Charleston, WV)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
- Rush University Medical Center (Chicago, IL)
- …**Required Job Qualifications:** Current State of Illinois Registered Nurse licensure required **Preferred Job Qualifications:** Baccalaureate degree in ... treatment. 3. Constantly seeks process improvement opportunities regarding supple utilization and charge captures. 4. Acts as the primary...5. Provides education and support to the patients, and co- workers in the service line. Serves as a patient… more
- Catholic Health Services (West Islip, NY)
- …Hospital Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient ... care coordination, including oversight of Managers of Care Coordination, Social Workers , and office administrative staff. In addition the director will oversee… more
- UPMC (Pittsburgh, PA)
- …position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient resource ... utilization , diagnostic complications and co-morbidities have been coded in...that were performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for… more
- AdventHealth (Hinsdale, IL)
- **Registered Nurse Field Case Manager Contract StaffFlex, Hospice-St. Thomas** **All the benefits and perks you need for you and your family:** Flexible contract ... The RN Care Manager in collaboration with the patient/family, social workers , nurses, physicians and the interdisciplinary team, ensures patient-centered care… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …(PACT) or the clinical team within the Specialty they are supporting, to review clinic appointment availability ( utilization ) to ensure that clinic schedules are ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …care delivery model. The AMSA coordinates with the patient care team to review clinic appointment availability and utilization to ensure that clinic schedules ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …challenges by providing culturally sensitive support. This role requires a Registered Nurse (RN) licensed in the state of Minnesota with psychiatric experience, or ... events to engage with members. Required Skills and Experiences * Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician… more