- UNC Health (Chapel Hill, NC)
- …date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a...complex patients and identify trends. Formulate potential solutions with Utilization Manager and Social Worker and continuously… more
- UT Health Tyler (Tyler, TX)
- Overview Join our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's how we take care of ... celebrate differences and treat one another with respect. Responsibilities The Manager of Case Management has overall responsibility for hospital utilization… more
- Wilson Medical Center (Wilson, NC)
- … facilitates internal and external delivery of healthcare services. The Case Manager integrates the roles of Utilization Management, Case Management, and ... The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level… more
- Hillcrest Hospital South (Tulsa, OK)
- …performs CNA duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager . Assists with patient care tasks such as ... patient arrival, pulls and prepares chart; Orders and monitors utilization of selected supplies: office, nutritional supplements, forms and...include at least one year of experience as a Unit Secretary with or without nurse assistant or CNA… more
- Advocate Aurora Health (Adell, WI)
- …caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress, ... ID #R106418. Posted job title: Home Health Physical Therapy Case Manager - Sheboygan AreaAbout Advocate Aurora HealthAdvocate Aurora Health's 22,000 nurses… more
- Hillcrest Hospital South (Tulsa, OK)
- …PCT duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager . Assist with patient care tasks such ... staff to patient arrival, pull and prepares chart.Order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next adventure?** ... **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible...and hospital staff **Requirements** + State of California Registered Nurse (RN) License. + Current American Heart Association (AHA)… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager , Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: ... for UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration with all departments to achieve… more
- University Medicine (East Providence, RI)
- …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... SUMMARY: Reporting to the Manager of Case Management, the nurse ...high risk case management (eg rising risk, frequent ED utilization ). The NCM helps Brown Medicine achieve the triple… more
- UNC Health Care (Chapel Hill, NC)
- …communities we serve. RN Utilization Manager position specifically for a Utilization Manager /Clinical Appeals Nurse . This person is based at the ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
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