Utilization Review and Case Management RN

Utilization Review and Case Management RN - Part Time, WeekendsAt LifeBridge Health, we are seeking a skilled Utilization Review and Case Management RN to join our team. As a key member of our healthcare team, you will be responsible for conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial,...

Job DescriptionWalker Health Services is seeking a strategic Utilization Review Manager to lead our Utilization Review department. This individual will oversee the UR process, ensuring compliance with state-specific guidelines, and develop policies and procedures for internal workflows and client interactions.The Manager will focus on optimizing UR...

About this RoleThe RN Case Manager plays a critical role in coordinating patient-centered care across the continuum, ensuring seamless transitions and optimal progression in care. This position requires collaboration with patients, families, social workers, physicians, and the interdisciplinary team to identify and eliminate barriers to clinical services.Key...

Job SummaryLifeBridge Health is seeking a skilled Utilization Review Nurse to conduct concurrent and retrospective chart reviews for clinical, financial, and resource utilization information. The ideal candidate will provide intervention and coordination to decrease avoidable delays and denial of payment.Key ResponsibilitiesReview medical records by applying...

Job SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Centurion Managed Care. The successful candidate will be responsible for reviewing requests for prior authorization of medical services, ensuring medical necessity and appropriate level of care.Key ResponsibilitiesPerform on-site and telephonic reviews of patient...

Job SummaryThe RN Case Manager at Johns Hopkins Medicine plays a critical role in coordinating patient-centered care across the continuum. This position requires leadership and advocacy skills to facilitate optimal transitions and progression in care. The ideal candidate will have a strong background in inpatient psychiatry and experience in case management,...

About Johns Hopkins HealthCareJohns Hopkins HealthCare is a leading provider of healthcare services, dedicated to delivering exceptional patient care and advancing medical research.Job SummaryWe are seeking a skilled RN Case Manager to join our team. The successful candidate will provide leadership and advocacy in the coordination of patient-centered care,...

Job SummaryClinical Utilization Review Specialist needed for part-time position at Grace Medical Center. Conduct concurrent and retrospective chart review for clinical, financial and resource utilization information. Provide intervention and coordination to decrease avoidable delays and denial of payment.ResponsibilitiesConduct chart review and abstract...

About this role:In collaboration with patients, families, social workers, and physicians, the Case Manager provides leadership and advocacy in the coordination of patient-centered care across the continuum. This role involves managing clinical resources and transition planning for patients within an assigned caseload from pre-admission through...

Job SummaryWe are seeking a highly skilled and experienced Market Director of Case Management and Utilization Management to join our team at Saint Agnes Hospital. As a key member of our leadership team, you will be responsible for providing strategic, operational, and administrative oversight to our Case Management and Utilization Management departments.The...

About This OpportunityAt Johns Hopkins Health System, we are committed to delivering exceptional patient care and advancing the field of medicine. As a RN Case Manager, you will play a critical role in coordinating patient-centered care across the continuum, ensuring seamless transitions and optimal outcomes.Key ResponsibilitiesCollaborate with patients,...

Job Summary:The Inpatient Case Manager RN will provide discharge planning coordination and intervention in collaboration with the clinical team and medical provider. This role aims to promote patient wellness, improved care outcomes, and efficient utilization of health services for patients with complex health needs.Key Responsibilities:• Conduct initial...

About this role:As a Case Manager RN at Johns Hopkins Medicine, you will provide leadership and advocacy in the coordination of patient-centered care across the continuum. In collaboration with patients/families, social workers, physicians, and the interdisciplinary team, you will facilitate optimal transitions and progression in care. Your clinical...

The Johns Hopkins HealthCare team is seeking a skilled RN Case Manager to join our inpatient psychiatry team. In this role, you will provide leadership and advocacy in the coordination of patient-centered care across the continuum, facilitating optimal transitions and progression in care. Your expertise will be invaluable in managing clinical resources and...

About this role:In collaboration with patients, families, social workers, and physicians, the Case Manager RN provides leadership and advocacy in the coordination of patient-centered care across the continuum. This role involves managing clinical resources and transition planning for patients within an assigned caseload from pre-admission through...

About this role:In collaboration with patients, families, social workers, and physicians, the Case Manager RN provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care.The Case Manager RN manages clinical resources and transition planning for patients within an...

About this role:In collaboration with patients, families, social workers, physicians, and the interdisciplinary team, the Case Manager RN provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care.The Case Manager RN manages clinical resources and transition...

Inpatient Case Manager RN - Part Time Opportunity LifeBridge Health is seeking a skilled Inpatient Case Manager RN to join our team. As a key member of our care management team, the Inpatient Case Manager RN will play a critical role in coordinating patient care and ensuring seamless transitions between hospital and post-acute settings. The ideal...

Job Summary:The Inpatient Case Manager RN is responsible for providing discharge planning coordination and intervention in collaboration with the clinical team and medical provider. The Care Manager strives to promote patient wellness, improved care outcomes, efficient utilization of health services, and minimize denials of payment among a patient population...

Job SummaryAt Johns Hopkins HealthCare, we are seeking a highly skilled Medical Case Manager to join our team. As a Medical Case Manager, you will play a critical role in coordinating patient-centered care across the continuum, ensuring seamless transitions and optimal progression in care.Key ResponsibilitiesCollaborate with patients, families, social...