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Utilization Review RN Case Management. As a Utilization Review Nurse/Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital.
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Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. Engages with Denials RN/Revenue cycle vendor to discuss opportunities for denials prevention.
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Blended Case Management Supervisor is responsible for assuring that the staff under their supervision are making every attempt to complete the documentation in a timely fashion and that it meets the general guidelines of legibility, it is signed, dated and that the content follows the DAP format and explains the nature of the contact.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Edgewood, Kentucky. MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Farmington, New Mexico. The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patients family and healthcare organization.
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During this individual supervision a chart review should be completed using the updated Utilization Review sheet with particular attention paid to whether or not a PGP exists to cover the time period since the last CBH review.
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ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) Case Management for a nursing job in North Las Vegas, Nevada. Posted job title: Rn Case Manager About ScionHealth - Kindred Cornerstone & Solara Hospitals Defined by its team of approximately 22,000 talented, heroic caregivers, ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions in communities across the country.
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The Case Management Assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute placement or services, and will identify and report barriers to discharges.
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Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: The Christ Hospital Home Health Care Our culture and people are what set us apart from other post-acute care providers.
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ScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a Registered Nurse (RN) Case Management for a nursing job in Lakewood, California. Posted job title: RN Case Manager Full Time About ScionHealth - Kindred Cornerstone & Solara Hospitals Defined by its team of approximately 22,000 talented, heroic caregivers, ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions in communities across the country.
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Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California , to provide care to family members of Active Duty heroes in the Wounded, Ill, and Injured Warriors (WII) under the Psychological Health Transition to Care Initiative in the Case Management/Utilization Management Division at Naval Hospital 29 Palms.
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management utilization review case rn manager job opportunities jobs Title: travel rn Company: Medical Solutions in AZ, Australia
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