- Saint Francis Hospital - Bartlett (Bartlett, TN)
- …Services, Inpatient & Outpatient Surgical Services, Med/Surge, Ortho, Critical Care and Women's Services. Case Manager RN FT Days Position Summary The RN Case ... with physicians, office staff and ancillary departments Leading and facilitating Complex Case Review Assuring patient education is completed to support… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site ... coordination of care. In this role you will perform utilization review while assuring the delivery of...RN License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
- Trinity Health (Athens, GA)
- …Full time **Shift:** Day Shift **Description:** Will work some weekends The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary ... in a hospital setting and a minimum of 1 year in case management, utilization management, or discharge planning preferred for RN. Certification in case… more
- MD Anderson Cancer Center (Houston, TX)
- …in coordinating care for high risk and complex patients. Preferred experience: Utilization review experience Licensure / Certification Required: Current State of ... patient receives care * Ensure appropriate payment of services that includes review of the appropriate patient class, providing clinical reviews to payers utilizing… more
- Dartmouth Health (White River Junction, VT)
- Utilization Review Case Manager - Home Health Full Time, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice ... that enrich the lives of the people we serve. Utilization Review Case Managersat VNH...equipment in patient care. * Collaborates with Home Health Manager in identifying items such as: patient concerns, educational… more
- Covenant Health (Bangor, ME)
- …the supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with ... other members of the healthcare team. The nurse case manager also acts as an advocate... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189319/ case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Dignity Health (Stockton, CA)
- …One Mission. One California (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV) **Responsibilities** **Position Summary:** Case Manager 1 assists Case ... to patients and their families acting as liaison between the case manager treatment team and physicians referral sources outside therapists community agencies… more
- Lowe's (Charlotte, NC)
- …of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... Office + Unrestricted RN license in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability… more
