• UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …- Registered Nurse - State Licensure and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) ... + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer… more
    Community Health Systems (07/29/25)
    - Related Jobs
  • MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
    Henry Ford Health System (05/16/25)
    - Related Jobs
  • RN Acute Case Manager - Medical…

    Guthrie (Troy, PA)
    Acute Case Manager Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational ... outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the… more
    Guthrie (08/08/25)
    - Related Jobs
  • Clinical Case Manager (RN-LCSW-LMFT…

    Sharp HealthCare (San Diego, CA)
    …health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for ... Referral development experience. **Essential Functions** + Admission reviewPatients within assigned case loads will continually be monitored for changes in status… more
    Sharp HealthCare (08/08/25)
    - Related Jobs
  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
    Mount Sinai Health System (07/15/25)
    - Related Jobs
  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics. Coordinates care and services...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
    LifePoint Health (08/09/25)
    - Related Jobs
  • RN/ Case Manager -Inpatient-Mount…

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager Inpatient Mount Sinai West FT Days 8a-4p EOW (Holiday Rotation)** The Case Manager (CM) will be responsible for all ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: 1. Maintains a working knowledge of the UR requirements of each payor within the patient population;… more
    Mount Sinai Health System (07/08/25)
    - Related Jobs
  • CARE Case Manager , Undergraduate…

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CARE Case Manager provides strengths-based assessment, intervention, and ... 200203 Office of the Dean of Students Work Shift: UR - Day (United States of America) Range: ...to success and to enhance their holistic well-being. The Case Manager exercises independent judgment while coordinating… more
    University of Rochester (08/09/25)
    - Related Jobs
  • Case Manager - Per Diem

    Stony Brook University (Stony Brook, NY)
    Case Manager - Per Diem **Position...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit ... Summary** At Stony Brook Medicine, a ** Case Manager ** is a valuable member of...throughout the hospital stay. + Assist with coverage for UR , Appeals and denials + Actively involved in performance… more
    Stony Brook University (07/09/25)
    - Related Jobs
  • Acute Nurse Case Manager (RN)

    ChenMed (St. Louis, MO)
    …ADLs, caregiver availability) + Facilitates the discharge plan in coordination with the hospital case manager , insurance case manager , social worker and ... information to the patient/caregiver, hospital staff. + Identifies patients for Community Case Manager or disease management (DM) programs and identifies patient… more
    ChenMed (06/23/25)
    - Related Jobs