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Responsible for the initial utilization review screen and the ongoing utilization review process through discharge. Join our team as a PRN, variable shift, Case Management, Registered Nurse in Tulsa, OK.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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O Ensures updates and maintenance of hospital plans is completed (for example Plan for the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, Performance Improvement and Patient Safety.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Equivalent to a Bachelor's Degree in nursing, management, business administration or related field and five (5) years of clinical nursing experience, or utilization review/case management experience, three (3) years of which were in a supervisory/managerial role.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Behavioral Health Case Manager is responsible for case management and utilization review of behavioral health and substance abuse services. The DSNP program combines UHC trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team. United providers serve patients’ in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This position provides case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Proactively conduct concurrent review of inpatient utilization according to identified criteria, and properly documenting decision including all appropriate legal and regulatory requirements.
$82,800 - $115,100 a yearExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Director is responsible for hospital-wide quality management program and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital.
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You will also perform utilization review while assuring the delivery of concurrent and post-hospital care. Recent experience in case management, utilization management and discharge planning.
$81.81 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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A cost containment background, such as utilization review or managed care is helpful. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.
$60,846 - $90,940 a yearExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Our focus is Utilization Review with care coordination of our patients and some discharge planning. Our purpose is to provide high quality care through appropriate resource allocation, to assure effective and efficient utilization of hospital facilities and services and help facilitate improving maximum financial strength for the hospital system.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Require a minimum of one (1) year of Utilization Review (UR) or Case Management experience in a hospital setting; or a qualified graduate of SMHCS internal ICM intern program.
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The CMO plays a key role in building and maintaining relationships between hospital management and the medical staff, as well as recruiting new physicians. Evaluates and optimizes the care management approach, process of disease management, patient satisfaction, patient safety and develops processes to assure appropriateness of care including length of stay and ancillary resource utilization.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience in utilization review, managed care, or determining appropriateness for level of care is preferred. Knowledge of utilization management and managed care environment is helpful.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must have both Utilization Review and Discharge Planning. Minimum 1 year recent Case Management experience in the last 18 months in a Hospital setting. Epic Travel Staffing is hiring aTravel RN – Case Manager.
ExpandApply NowActive JobUpdated 4 days ago
hospital management utilization review jobs
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