Current jobs related to RN Case Manager/Discharge Planning/Utilization Review - Arlington TX United States - USPI
-
Arlington, United States VHC Health Full timeCase Manager/ Utilization Review Registered Nurse Job Description Purpose & Scope: The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes....
-
Arlington, United States VHC Health Full timeDescription Purpose & Scope: The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and...
-
RN Utilization Review
3 days ago
Columbus, OH, United States Mount Carmel Health System Full timeEmployment Type:Part timeShift:Description:Utilization Review RN, Case ManagementWhy Mount Carmel? With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in...
-
Case Manager RN
1 month ago
Kodiak, AK, United States Providence Full timeDescription The Case Manager/RN Navigator is responsible for the comprehensive assessment, planning, implementation, and evaluation of individual patient needs for discharge planning, admission to swing bed and case management including utilization review in accordance with Providence philosophy, objectives, policies, procedures and standards. The...
-
Utilization Review Nurse
4 weeks ago
Arlington, Virginia, United States Kaiser Permanente Full timeJob SummaryWe are seeking a skilled and compassionate Utilization Review RN to join our team at Kaiser Permanente. As a Utilization Review RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesConduct thorough utilization reviews to determine the medical...
-
Paris, TX, United States Paris Regional Medical Center Full timeCase Manager RN/LVN license required, Case ManagementJob Summary: Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Social Workers,...
-
Case Manager Utilization RN
3 weeks ago
Ontario, CA, United States Kaiser Permanente Full timeJob Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
-
Utilization Review RN
1 month ago
Arlington, United States Kaiser Permanente Full timeThe Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential Responsibilities: Utilization Review. According to department policy, procedure and protocols, consistently apply and verbally communicate approved utilization...
-
Case Manager Utilization RN, PD Day
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary:Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
-
Case Manager Utilization RN, PD Day
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
-
Case Manager Utilization RN, PD Day
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary:Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
-
Utilization Review Nurse
2 weeks ago
Washington, DC, United States MEDSTAR HEALTH Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at MedStar Health. As a key member of our case management team, you will play a critical role in ensuring high-quality patient care while promoting efficient use of hospital resources.Key ResponsibilitiesConduct thorough admission, concurrent, and retrospective case reviews to...
-
RN-Utilization Review
35 minutes ago
Nashville, TN, United States Ascension Full timeDetails Department: Case Management Schedule: Full-Time, Monday-Friday (8:00A - 4:30P) Hospital: Ascension St Thomas Location: Nashville, TN - - - ****TN Nursing License is REQUIREDBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee...
-
Patient Care Coordinator Case Manager
3 weeks ago
Stockton, CA, United States Kaiser Permanente Full timeJob Summary:Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required.Essential Responsibilities:Utilization Management: Performs daily...
-
Patient Care Coordinator Case Manager
3 weeks ago
Stockton, CA, United States Kaiser Permanente Full timeJob Summary:Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required.Essential Responsibilities:Utilization Management: Performs daily...
-
Case Manager Utilization RN, Per Diem Day
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
-
Case Manager RN
2 weeks ago
, TX, United States Las Palmas Medical Center Full timeJob SummaryLas Palmas Medical Center is seeking a skilled RN Case Manager to join our team. As a key member of our case management team, you will be responsible for coordinating the delivery of medical services and discharge planning for a specified patient population.Key ResponsibilitiesConduct concurrent and retrospective review of patient medical records...
-
Utilization Review Nurse
4 weeks ago
Slingerlands, NY, United States Albany Medical Center Full timeJob Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they meet medical necessity and are in compliance with regulatory requirements.Key Responsibilities:Conduct thorough...
-
Utilization Review Nurse
4 weeks ago
Newtonville, NY, United States Albany Medical Center Full timeJob Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they meet medical necessity and are in compliance with regulatory requirements.Key Responsibilities:Conduct thorough...
-
Case Manager Utilization RN, Per Diem Day
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary:Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe...
RN Case Manager/Discharge Planning/Utilization Review
2 months ago
Welcome to Baylor Scott & White Orthopedic and Spine Hospital – Arlington, TX, where we focus on an environment of excellence, growth, and specialized patient care. We are a dynamic community dedicated to revolutionizing orthopedic and spine care
We are seeking a Registered Nurse Case Manager/Discharge Planning/Utilization Review to join our team
**Schedule: 8AM-4:30PM, M-F**
Registered Nurse Case Manager/Discharge Planning/Utilization Review at Baylor Scott & White Orthopedic and Spine Hospital – Arlington:
· The Case Manager coordinates the discharge planning of BOSHA inpatients and assists with all other case management needs as requested.
Why Choose Baylor Scott & White Orthopedic and Spine Hospital – Arlington?
· A Legacy of Expertise: Join a 38-bed hospital that has proudly been serving Arlington residents and patients from across the region since 2010. We're not just a hospital; we're the only specialized facility of our kind in the DFW Metroplex, bringing world-class experts close to home for the highest level of orthopedic and spine care.
· USPI Partnership: Baylor Scott & White Orthopedic and Spine Hospital – Arlington is a proud joint venture between United Surgical Partners International, local physicians, and Baylor Scott & White. This partnership fosters an environment of collaboration, innovation, and continuous learning.
· Committed Patient Care: Our focus is delivering top-quality, specialized treatment with compassion tailored to each individual. We're committed to ensuring all patients feel comfortable, informed, and empowered about their surgery, making this hospital experience a positive one.
· Accreditation & Certification: Our facility holds accreditation from The Joint Commission and is fully licensed by the state of Texas. Along with our Total Joint Program and Spine Program. Additionally, we have been awarded with Press Ganey Guardian of Excellence Customer Service Award. Our commitment to meeting rigorous performance standards ensures the highest level of care for our patients.
Join us at Baylor Scott & White Orthopedic and Spine Hospital – Arlington and embark on a journey of professional fulfillment, growth, and meaningful patient care. Apply today to be part of our esteemed team, where your expertise and dedication create an exceptional healthcare environment. Your path to a rewarding career starts here
Required Skills:
Education/License:
· Current license as a Registered Nurse in TX
· CCM preferred
#LI-TB1
Required Experience:
Required Experience:
· One to three years' experience in Case Management.
1 year Utilization Review and Acute Care experience required.
· Relevant clinical experience preferred.
· Demonstrate competent communication and leadership skills.
· Knowledge of Joint Commission, CMS, Private Insurance and TDSHS standards.
· Basic computer knowledge. Word and Excel preferred
· Possess the ability to make independent decisions and handle multiple projects simultaneously.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.