- UNC Health (Chapel Hill, NC)
- …and accurate documentation of patient data and treatments. Communicates daily with the Case Manager to manage level of care transitions & appropriate utilization ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North...regulatory knowledge to reduce significant financial risk caused by concurrent and retrospective denial of payments for rendered services.… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... inclusion, and provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester and Mayo… more
- Ellis Medicine (Schenectady, NY)
- …on first working day post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment. Make all contact with ... the anticipation, identification, and resolution of issues through pre-admission, admission, concurrent and post discharge medical record review 3. Services… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/rn- case - manager utilization- review ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Baystate Health (Greenfield, MA)
- …to **Baystate Franklin Medical Center** is looking for a **Per Diem** **Registered Nurse (RN), Case Manager ** to join our Hospital Case Management team in ... Healthcare Recruiter** **###@baystatehealth.org** **Summary:** The Utilization Management Specialist (UMS)/Hospital Case Manager (HCM) is a Registered Nurse (RN)… more
- HCA Healthcare (Las Vegas, NV)
- …every year, nurses at Sunrise Hospital have the opportunity to make a real impact. As a Case Manager , you can be a part of change. **This is an Evening Shift, ... PM - 8:00 PM, Full Time, No Weekends RN Case Manager position.** **Benefits** Sunrise Hospital, offers...compiled by hospital medical records for the purpose of admission/ concurrent review for Medicare and self-pay patients… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- Sharp HealthCare (San Diego, CA)
- …Time** Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing **Hours** **:** **Shift Start… more
- ChenMed (Philadelphia, PA)
- …rapidly expanding and we need great people to join our team. The RN Case Manager is responsible for achieving positive patient outcomes and managing quality ... facilities, as well as, their home environments. The RN Case Manager role also involves establishing relationships...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… more
- Stanford Health Care (Palo Alto, CA)
- …Day - 10 Hour (United States of America) We are seeking a Registered Nurse Case Manager with the ability to work within multiple service areas/units. This is ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as...not intended to provide direct patient care; rather, a Case Manager will be assigned to specific… more
- ChenMed (Colonial Heights, VA)
- …providers. We're rapidly expanding and we need great people to join our team. The Case Manager is responsible for enhancing the quality of patient management and ... possession and maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for… more
- Albany Medical Center (Albany, NY)
- …Care Management/Social Work Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...referral process and use of community resources. 2. Utilization Review a. Reviews data from admission screening to clarify… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... problems, and ability to work under pressure and deal with change. The Psychiatric Case Manager coordinates the care of patients through the provision of… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to work at ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with...for services requiring prior authorization as well as timely concurrent review for continuation of care services… more
- Trinity Health (Ann Arbor, MI)
- …of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for patients' discharge plans while ... clinical expertise or equivalent experience and expertise as a Case Manager . + Certification: Case ...economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,… more
- HCA Healthcare (El Paso, TX)
- …to you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates ... their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist...and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical… more
- HealthTrust Workforce Solutions (Savannah, GA)
- …to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social Services ... **_Interim Leader of Case Management_** At HealthTrust, we believe that healthcare...Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The… more
- HCA Healthcare (El Paso, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse PRN position and spend more time ... and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical...involved healthcare entities. The duties of the acute care Case Manager may be performed as in… more
- Penn Medicine (Plainsboro, NJ)
- …our future each day. Are you living your life's work? Summary: + The Case Manager supports the interdisciplinary team in facilitating patient care, with the ... utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where… more
