- 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
- 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
- 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
- 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
- Avera (Sioux Falls, SD)
- …from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation with ... Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity,...Utilization Review staff on patients status and ongoing coverage +… 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
- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** **RN/ Case Manager MSH Case ...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case… more
- Mount Sinai Health System (New York, NY)
- …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** The Case Manager (CM) will be responsible...1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case… more
