- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... **Description** **RN Utilization Manager needed to provide per...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient ... determine appropriateness for inpatient and outpatient care. 3) Utilizes clinical expertise to determine the appropriate level of care...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...and payers, and streamline care plans to align with clinical and regulatory standards. By optimizing resource utilization… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
- Prime Healthcare (Lynwood, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... Employment Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ case - manager %2c-rn utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical… more
- Prime Healthcare (Montclair, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair Hospital… more
- Sharp HealthCare (San Diego, CA)
- …maintaining quality and cost effective care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health ... towards the achievement of quality and cost outcomes. The Clinical Case Manager is responsible...intervention, follow up and evaluation of care pertinent to utilization and financial information. + Utilization ManagementMaintains… more
- US Tech Solutions (Canton, MA)
- …current a and unrestricted Massachusetts license required + Minimum of five years clinical experience in utilization management, case management or quality ... / Outpatient UM team and works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer is expected to… more
- Tufts Medicine (Burlington, MA)
- …and payment processing. In addition, this role focuses on performing the following Utilization duties: Ensures the delivery of clinical services is appropriate ... assisting with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization … more
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