- CHRISTUS Health (Wake Village, TX)
- …to inpatient status. * Works closely to coordinate and collaborate with the ED Case Manager regarding patient class, discharge planning from ED, and avoidance of ... of nursing is required. Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is required. Licenses, Registrations, or… more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must ... in employment." **Job:** **Nursing* **Organization:** ** **Title:** *RN - Utilization Review Case Manager...**Nursing* **Organization:** ** **Title:** *RN - Utilization Review Case Manager * **Location:** *Virginia-Danville*… more
- Covenant Health (Nashua, NH)
- …policies and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices.… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor sources. Identifies ... health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools,... follows the UR process as defined in the Utilization Review Plan in accordance with the… more
- CVS Health (Charleston, WV)
- …+ Foster care experience + Crisis intervention skills + Managed care/ utilization review experience + Certified Case Manager (CCM) certification + ... of service and with demonstrated performance and attendance. The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… 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 ...+ 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
- 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 ... for medically managing a minimum caseload of 65 including review of claims identified for Medicare Set-Aside. **What you...RN license in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation… more
