- Seattle Children's (Seattle, WA)
- …caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director to… more
- Covenant Health (Nashua, NH)
- …of the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge ... + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager +...Minimum of five years broad clinical experience preferred + Case management and/or Utilization … more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Management + **Schedule:** Full-time, Day Shift, 40 hours/week, Monday-Friday, 8am-4:30pm + **Hospital:** Ascension Via ... at the time of the offer._ **Responsibilities** Provide various services supporting case management process. + Obtain and record authorizations for ancillary… more
- Baptist Memorial (Meridian, MS)
- …Required: RN with 3 years of clinical experience Preferred/Desired: RN with Case Management or Utilization Review experience in a hospital or payer ... Overview RN Utilization Review Weekender Job Code: 22818...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
- Baptist Memorial (Memphis, TN)
- …Required Preferred/Desired RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a hospital or payer setting ... RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a hospital or payer setting Desired Licensure,… more
- Trinity Health (Fort Lauderdale, FL)
- …of two (2) years acute hospital clinical experience is required.** Recent experience in case management , utilization review , discharge planning, ongoing ... Care Plans to ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in healthcare by… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager, Utilization Management /ReviewDepartment:Patient Services-Patient Care ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a… more
- Actalent (Sunrise, FL)
- …and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman ... + Clinical review + Utilization review + Utilization management +...Managed care + Patient care + Medical record + Case management + Concurrent review … more
- UNC Health Care (Raleigh, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. ... **Description** **Our Case Management team is seeking a...Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization … more
- HCA Healthcare (Henderson, NV)
- …level. + Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation ... Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation… more