Case Manager Utilization Specialist

Job SummaryThe Utilization Management Nurse Specialist is responsible for the appeal process for the inpatient adult population and is an active participant of the Medicare one day stays process. The incumbent works in a collaborative relationship with admitting, patient financial services, physicians, nurses, case managers and social workers of the...

Job SummaryThe Pre-Admission Utilization Management Nurse is responsible for applying utilization management principles and techniques, as well as clinical nursing background and expertise, for the assessment of patients' admissions prior to their entry into the inpatient hospital setting.The incumbent works in a collaborative relationship with admitting,...

Job SummaryThe Utilization Management Nurse is responsible for the appeal process for the inpatient adult population and is an active participant of the Medicare one day stays process. The incumbent works in a collaborative relationship with admitting, patient financial services, physicians, nurses, case managers and social workers of the interdisciplinary...

Job SummaryAs a Clinical Services Manager - RN Telephonic Case Management, you will play a pivotal role in ensuring optimal recovery outcomes for every claimant while fostering trust, providing education, and delivering personalized care. You will collaborate with field case managers to provide case direction when on-site intervention is required.Key...

Job Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a travel nurse case manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a skilled case manager to work with our team in San Francisco,...

TotalMed Case Management Staffing is seeking a professional Registered Nurse to fill a Case Management position in a dynamic healthcare setting.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 14 weeksShift: 8 hours, daysEmployment Type: TravelAbout the Position:We are seeking a skilled Registered Nurse to provide case management services in a...

Job Description:RN Case Manager Job Requirements:As a RN Case Manager with HexaQuEST Health, Inc., you will be responsible for conducting patient initial assessments, utilizing your strong Utilization Review experience to ensure the best possible outcomes. You will work in an acute Care hospital setting, utilizing your EPIC EMR documentation skills to...

TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing assignment.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team.TotalMed Case Management Staffing offers a unique opportunity for a Case Manager-Registered Nurse to...

TotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California. TotalMed Case Management Staffing is a...

TotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in San Francisco,...

TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing assignment in a major metropolitan area.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team for a short-term...

Job DescriptionWe are seeking a skilled Case Manager to join our team at Goodwill of the San Francisco Bay. As a Case Manager, you will play a critical role in supporting clients with mental health struggles by providing client-focused services using a solution-focused and trauma-informed therapeutic framework.This position involves working collaboratively...

Job Title: CA RN Case Manager (Strong Utilization Review Expertise Required)We are seeking a skilled RN Case Manager with strong utilization review expertise to join our team at HexaQuEST Health, Inc.Key Responsibilities:Conduct patient initial assessments and provide high-quality careUtilize strong utilization review skills to ensure efficient and effective...

Clinical Case Manager Job SummaryThe Clinical Case Manager at Felton Institute will provide intensive case management services to adults living with severe mental illness. This role involves evaluating client needs, developing treatment plans, and linking clients to basic needs, physical health care, and employment services. The ideal candidate will have a...

Job DescriptionOverviewGEO Reentry Services, LLC is seeking a highly motivated and dedicated Case Manager to join our team. As a Case Manager, you will play a critical role in supporting residents in developing program plans and administering policies and procedures.ResponsibilitiesManage a caseload of client cases and provide support and structure to...

Job SummaryThe Substance Use Disorder Case Manager position is part of the Behavioral Health Services team at the 1930 Market Street Service Center. This role is responsible for providing case management services to individuals and groups who have substance use disorders, potential co-occurring mental health disorders, and/or are living with HIV/AIDS.This...

Job SummaryThe Utilization Management Nurse is a key member of our interdisciplinary team, responsible for evaluating the efficiency and appropriateness of treatments and services provided to patients. This role requires strong clinical expertise, excellent communication skills, and the ability to work collaboratively with healthcare professionals to ensure...

Job Title: Case Manager II - Housing SpecialistReports to: Deputy Director of Subsidy ServicesStatus: Union, Non-ExemptHourly Wage: $29.00Schedule: 9:00 am-5:00 pm, Monday-FridayCommunity Forward SF is a collection of vital programs that ensures our neighbors experiencing homelessness have effective services designed for their unique needs. Whether one needs...

Job SummaryThe Case Specialist I works as part of the administrative team providing direct services to families referred through the Family Court. The Case Specialist is responsible for conducting supervised visitation services and completing documentation for visits. He/She is responsible for conducting intakes of parents. She/he is responsible for...

Job Title: RN Case ManagerAt Santa Clara Family Health Plan, we are seeking a highly skilled and compassionate RN Case Manager to join our team. As a RN Case Manager, you will play a vital role in providing on-going case management services to our members, ensuring they receive the highest quality care and support.Key Responsibilities:Conduct comprehensive...