- Tenet Healthcare (Detroit, MI)
- …on strategic initiatives and will provide subject matter expertise for Case Management – Utilization Review regulations and standards, including ensuring ... necessary to support and advance Tenet’s Case Management strategy with the specific focus on Utilization Review for the designated Market. Will support… more
- CoreCivic (Brentwood, TN)
- …a 10% bonus eligible._ **SUMMARY:** The Manager, Utilization Management / Case Management provides Utilization Review and Case Management ... the organization under the direction of the Senior Director, Case Management and within the established policies...Collaborates with management for oversight of the utilization review process to ensure services being… 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
- HCA Healthcare (Nashville, TN)
- …nursing or behavioral health experience required + 1- 3 years relevant case management / utilization review experience preferred + Must hold and maintain ... **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We have an… more
- Stanford Health Care (Palo Alto, CA)
- …Qualifications: - 5+ years of experience as an RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine | Stanford ... Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review , social work, care coordination and… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- Children's Hospital Boston (Boston, MA)
- 79378BRJob 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. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem… more
- RWJBarnabas Health (Newark, NJ)
- …settings. Additionally, candidates must have at least 3 years of recent experience in Case Management , Utilization Review , or Discharge Planning, and ... leadership experience required. This role focuses on clinical resource management , utilization review , discharge planning,...federal guidelines and is accountable for case management outcomes as outlined in the Utilization … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED ... all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized criteria… more
- HCA Healthcare (Anchorage, AK)
- …required. + 2+ years of supervisory experience preferred. + Certification in Case Management or Utilization Review preferred. + Ability to establish and ... care facilitation, discharge planning functions and utilization management . + You will lead the Case ...compelling, we encourage you to apply for our Manager Case Management opening. We promptly review… more
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