- Beth Israel Lahey Health (Burlington, MA)
- …Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance ... making a difference in people's lives.** Joint role of Case Manager and Utilization Review...medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable.… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN, Utilization Review Case Manager ** **Why Mount Carmel?** With five hospitals ... and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our...more at www.experiencecolumbus.com ! **About the job:** The **RN Case Manager , Utilization Review** ensures… more
- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... services and Outpatients in a Bed. Identifies delays in care . Documents and communicates findings with the care...team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...align with clinical and regulatory standards. By optimizing resource utilization and maintaining the highest standards of care… more
- 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 ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case / Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-5593 more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... to insurers to update them on the plan for care of hospitalized patients. They work alongside Patient Financial...experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
- Holzer Health System (Gallipolis, OH)
- …of patients requiring acute care or observation. Monitors the plan of care to ensure the efficient utilization of resources. Collaborates with the ... Works under the supervision of the Director of Care Management. Reviews the medical record on a...outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with… more
- Providence (Anchorage, AK)
- …of hire. + National Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of ... they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- Houston Methodist (The Woodlands, TX)
- …and federal programs + Progressive knowledge of utilization management, case management, performance improvement, and managed care reimbursement + Ability ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
- Prime Healthcare (Montclair, CA)
- …Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/215040/ case - manager -%28rn%29 … more