• Integrated Care Management Assistant…

    McLaren Health Care (Detroit, MI)
    …degree in coding/medical records/billing or healthcare related field + Two years of case management or utilization review, billing, or coding experience ... **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the...Ability to understand, interpret, explain, and use data for case management activities. + Ability to work… more
    McLaren Health Care (04/16/24)
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  • Utilization Management Coordinator

    YesCare Corp (Bartow, FL)
    …Veterans._ **Responsibilities** Below is a list of your responsibilities as a ** Utilization Management Coordinator** with YesCare: + Confirms admissions with ... outside hospitals and notifies the Utilization Management Department of need to report...and providers for authorization numbers + Forwards daily inpatient case management abstracts to Corporate UM +… more
    YesCare Corp (06/06/24)
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  • Manager , Case Management

    Hackensack Meridian Health (Edison, NJ)
    …our mission to transform healthcare and serve as a leader of positive change. The ** Manager of Case Management ** , is responsible for all activities related ... to Case Management , Social Work and ...to Case Management , Social Work and Utilization Management...needed.** **Responsibilities** A day in the life of a ** Manager of Case Management ** at… more
    Hackensack Meridian Health (05/07/24)
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  • Case Manager - Case

    Arnot Health (Elmira, NY)
    …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
    Arnot Health (06/06/24)
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  • Sr Utilization Review Spec- Physician FT…

    Hackensack Meridian Health (Hackensack, NJ)
    …are not limited to utilization review, hospital reimbursement, clinical compliance, case management , and transitions of care, as outlined in the ... direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight...conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses… more
    Hackensack Meridian Health (05/07/24)
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  • Case Manager -OON-Out of Network…

    Sharp HealthCare (San Diego, CA)
    …CA Department of Motor Vehicles; Master's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's ... Manager Certification -PREFERRED + Accredited Case Manager (ACM) - American Case Management...by the OON Department to insure that clinical and utilization management information is clearly and concisely… more
    Sharp HealthCare (05/24/24)
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  • RN/Registered Nurse - Utilization

    Texas Health Resources (Arlington, TX)
    …experience in an acute hospital setting required and + 1 Year Utilization Management required and + Experience in case management , and/or the application ... **RN/Registered Nurse- Utilization Management , Clinical Reviews** **Work location:**...the state Texas upon Hire Required And + Other Case Management certification within 12 Months Preferred… more
    Texas Health Resources (06/13/24)
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  • RN Case Manager - Case

    Health First (Melbourne, FL)
    …a acute care hospital. * *Knowledge/Skills/Abilities:* o Knowledge of care transitions, utilization management , case management , performance improvement ... ** Case Management * **Organization:** **Holmes Regional Medical Center* **Title:** *RN Case Manager - Case Management * **Location:** *Florida -… more
    Health First (06/14/24)
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  • RN Case Manager - Case

    Health First (Melbourne, FL)
    …a acute care hospital * *Knowledge/Skills/Abilities:* . Knowledge of care transitions, utilization management , case management , performance improvement ... ** Case Management * **Organization:** **Holmes Regional Medical Center* **Title:** *RN Case Manager - Case Management * **Location:** *Florida -… more
    Health First (05/21/24)
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  • Case Manager II - Scor - PT/.8…

    Sharp HealthCare (Coronado, CA)
    …for Case Manager Certification; Master's Degree; Accredited Case Manager (ACM) - American Case Management Association (ACMA) **Hours** **:** ... case management experience. + 3 Years case management , utilization review, care...Manager Certification -PREFERRED + Accredited Case Manager (ACM) - American Case Management more
    Sharp HealthCare (06/09/24)
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