- 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
- Beth Israel Lahey Health (Plymouth, MA)
- …you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR and… more
- CoreCivic (Brentwood, TN)
- …bonus eligible._ **SUMMARY:** The Manager , Utilization Management /Case Management provides Utilization Review and Case Management functions ... better the public good. CoreCivic is currently seeking a ** Manager , Health Services Audits** located at our corporate office...Collaborates with management for oversight of the utilization review process to ensure services being… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management … more
- Catholic Health (Buffalo, NY)
- …Holiday Rotation Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse (RN) Care Manager - Utilization Review , as an active member of the Care Management ... clinical skills and discharge planning principles, the RN Care Manager , Utilization Review collaborates with...obtained within 6 months + National Certification in Case Management preferred EXPERIENCE + Two (2) years medical surgical… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As ... 28, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN...in orientation of fresh staff as requested by the Manager of Utilization Management . 17.… more
- Ascension Health (Baltimore, MD)
- …and salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing ... the areas of utilization criteria, appeal and review process, and case management system documentation....resolution to maintain smooth operations. **Registered Nurse, Certified Case Manager (CCM, ACM, URAC) preferred or willing to obtain… more
- Houston Methodist (The Woodlands, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred or… more
- Tufts Medicine (Burlington, MA)
- …The position provides day to day support and oversight to Utilization Review departments and UM vendor management . Responsible for compliance with CMS ... Review and Discharge Planning including implementation and annual review of the Utilization Management ...the Utilization Management Committee. The Utilization Management Operations Manager follows… more
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