- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- UNC Health Care (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- UNC Health Care (Hendersonville, NC)
- …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review… more
- Intermountain Health (Las Vegas, NV)
- …of staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery. The Manager Care Management I reports to the ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Care Management I leads and collaborates with care management operations across utilization review, acute… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... as appropriate. + Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for individuals seeking services… more
- Children's Mercy Kansas City (Kansas City, MO)
- …nursing + required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing… more
- Prime Healthcare (Lynwood, CA)
- …Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn-case- manager utilization… more
- Sharp HealthCare (San Diego, CA)
- … care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with ... 1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational...Will Do** To provide discharge planning and coordination of care for members hospitalized in the acute care… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and utilization review principles in monitoring the delivery of care and promoting optimal communication among treatment team members, intra and ... hospitalization and to facilitate transfer to the appropriate alternative level of care setting for continued treatment. Employs the utilization management… more
- Molina Healthcare (North Las Vegas, NV)
- …of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, ... Essential Job Duties * Assists in implementing health management, care management, utilization management, behavioral health and...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
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