- Duke Health (Durham, NC)
- …daily census and assignment to assure all patients are assessed for case management needs including care coordination/transition and discharge planning, ... to providers, patients and families as needed. Work with Utilization Management partners to provide information and...and assignment to assure all patients are assessed for case management needs including care coordination/transition and… more
- Duke Health (Durham, NC)
- …Perform other related duties incidental to the work described herein. Case management needs including care coordination/transition and discharge planning, ... to providers, patients and families as needed. Work with Utilization Management partners to provide information and...current or compact RN licensure in state of NC. CASE MANAGER Job Level: G2 Duke is… more
- University of New Mexico - Hospitals (Edgewood, NM)
- …Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: ... This is a Utilization Review position. We review all admissions and...Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures… more
- University of New Mexico - Hospitals (Edgewood, NM)
- …- Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including ... to base pay. Sign-on Bonus and Relocation Reimbursement available! Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible… more
- University of New Mexico - Hospitals (Edgewood, NM)
- Department: Utilization Management FTE: 1.00 Full Time (30 - 40 hours per week) Shift: Days Position Summary: Function as a department educator, master teacher, ... master preceptor for Case Management for both RN And SW...* COLLABORATE - Collaborate with Unit Director, Social Work Manager , and RN Supervisors to plan and implement pertinent… more
- CHRISTUS Health (Alamogordo, NM)
- …and reporting individual cases and/or trends to the infection control nurse. Performs utilization management functions as required by payer source. Complies with ... the Utilization Management Plan. Requirements Education Required: Associate of Science Licenses & Certifications Required: L-RN Singlestate Preferred: L-RN… more
- UNC Health (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- UNC Health (Chapel Hill, NC)
- …effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be highly ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain… more
- The University of Vermont Health Network (Elizabethtown, NY)
- …similar experience required. Assessment and screening for employee health preferred.* Case management accreditation required by a nationally recognized ... accrediting body for case management (examples: CCM, ACM or ANCC...regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and… more
- Prime Healthcare (Anaheim, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… more
