- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case ... Works directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to inform… more
- LifePoint Health (Gallatin, TN)
- …management or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** ... Monitors adherence to the hospital's utilization review plan to ensure appropriate use of...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree or RN… 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 ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just 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 ... effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review...Case Manager experience as well as Utilization Review experience (review medical necessity and discharge planning)… more
- CoreCivic (Brentwood, TN)
- …will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management/ Case Management provides Utilization Review ... a responsibility to better the public good. CoreCivic is currently seeking a ** Manager , Health Services Audits** located at our corporate office in Brentwood, TN.… more
- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is… more
- RWJBarnabas Health (Rahway, NJ)
- …the length of stay and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work with Medical/Surgical ... Per Diem Case Manager Registered Nurse (RN), ...Per Diem Case Manager Registered Nurse (RN), Case ManagementReq...hospital setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care +… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199249/ case - manager utilization ... Bachelor degree in a related field or at least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6 months… more
- LifePoint Health (Danville, VA)
- …patient ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social ... *Registered Nurse, RN - Case Manager * Job Type: Full Time...American Heart Association Basic Life Support . Experience in Utilization Review preferred . Requires flexibility in scheduling and… more