- Saint Francis Hospital - Bartlett (Bartlett, TN)
- …Inpatient & Outpatient Surgical Services, Med/Surge, Ortho, Critical Care and Women's Services. Case Manager RN FT Days Position Summary The RN Case Manager is ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS ... Summary Responsible for the Utilization Review Program across the system. In collaboration with system care coordination leadership ensures the strategic goals… more
- Beth Israel Lahey Health (Plymouth, MA)
- …you're not just taking a job, you're making a difference in people's lives.** MANAGER , UTILIZATION REVIEW & DENIALS MGMT **Job Description:** Beth Israel ... to level of care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely response to denials. + Maintains… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, 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...staffs. -Case Manager experience as well as Utilization Review experience ( review medical… more
- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization… 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 at our ... and effective coordination of care. In this role you will perform utilization review while assuring the delivery of concurrent and post-hospital care. We're also… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… 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 ... of service for patients to ensure appropriate and timely utilization of hospital services. **Licensure/Certification/Registration:** Current GA RN license. BLS… 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
- Ochsner Health (Lafayette, LA)
- …+ Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains employee ... schedules to assure appropriate coverage. + Develops departmental specific systems to assure an environment that emphasizes patient courtesy and responsive service delivery. + Performs other related duties as required. The above statements describe the general… more
