- A-Line Staffing Solutions (Tampa, FL)
- …, Retrospective Review , CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager , Medical Coding, BSN, Medical ... Utilization Review , Utilization Management, Registered Nurse, MCO, RN, HMO, Concurrent Review , Retrospective Review , Managed Care, Medical Claims,… more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston,...identify potential issues and forwards information to Clinical Quality Review Department.Ensures that all elements critical to the plan… more
- Volunteers of America Mid-States (Louisville, KY)
- …Hourly, Non-Exempt PROGRAM: Addiction Recovery Services REPORTS TO: Senior Program Manager of Freedom House INTRODUCTION: Volunteers of America Mid-States (VOA) is ... Place. 3. Complete psychosocial and initial ASAMS as needed. 4. Carry a case load of individual clients for individual therapy services to include treatment… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing ... criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward… 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
- 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
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161307/ 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. + Five years acute… 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
- 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)
- …1 **Shift Start Time** **Shift End Time** Master's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing… more
- ChenMed (Morrow, GA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… 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)
- …Stanford Medicine | Stanford Health Care (SHC)? We seek a full-time, night shift RN Case Manager to work in ED/CDU/Observation. If you have case management ... 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
- LifePoint Health (Rutherfordton, NC)
- …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... in UR standards and LOS topics. Insures effective Utilization Review Process.1. Performs admission and concurrent medical...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Sharp HealthCare (San Diego, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... of Registered Nursing -REQUIRED **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager … more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager - 2406001658 Description : The RN Case Manager is responsible to facilitate care along a continuum through effective resource ... staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is...Registered Nurse in the State of Michigan. 4. Accredited Case Manager (ACM) preferred. 5. Must complete… 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
- HCA Healthcare (Richmond, VA)
- …and personal growth, we encourage you to apply for our Social Worker SW Case Manager opening. We promptly review all applications. Highly qualified ... family! Jump-start your career as a **Social Worker SW Case Manager ** today with Chippenham Hospital. **Benefits**...ACDs as appropriate. + You will perform admission and concurrent review for all payers and maintain… 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
