- 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)
- …assistance/continuing education + Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate ... Summary Responsible for the Utilization Review Program across the system . In collaboration with system care coordination leadership ensures the strategic… 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...delays in discharge. Documents all Avoidable Days in CANOPY system . + Performs clinical review on admission… 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 ... coordination of care. In this role you will perform utilization review while assuring the delivery of...care has enabled us to become a world-renowned health system with four award-winning hospitals and more than 270… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for...System is one of the largest academic medical systems in the New York metro area, with more ... medical records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to… 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
- Ochsner Health (Lafayette, LA)
- …acute care setting or similar environment. Experience in compliance management systems (CMS) regulations, compliance and quality metrics. Experience managing denials ... + Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains employee… more
- Dartmouth Health (White River Junction, VT)
- Utilization Review Case Manager -...come with being part of the renowned Dartmouth Health system Locations: * Fully remote work in all states except: ... Home Health Full Time, Days Why work as a Utilization Review Case Manager at...Electronic Medical Record * Proficiency in Excel and Word systems * Area of Interest:Newly Created Position; * Employment… more
- Community Health Systems (Naples, FL)
- **Onsite Role **Comprehensive Benefits **Job Summary** Under the direction of the Utilization Review (UR) Director/ Manager the Utilization Review ... Degree BSN required + 2-4 years clinical practice experience required + Utilization Review experince preferred + Experience in HEDIS, MIPS, PQRS, ACO, STARS… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... discussions and decisions. Oversees service line efficiencies to ensure appropriate utilization of Health System resources including patient financial… more
