UTILIZATION REVIEW CASE MGR jobs in UNITED STATES, United Kingdom

About Steward Health Care Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustaina...

Job Summary: The BHC Case Manager, Licensed should have advance knowledge and understanding of mental health... and families. The candidate will have the capacity to conduct case certifications and reviews to present rationale for level...

Advocacy; Utilization Review; Resource Management; Continuum of Care Management (Discharge planning) and Clinical Documentation... medical/surgical setting. Computer databases management experience. Case Management experience preferred. May require...

for participating in the development of the patient's plan of care and facilitating efficient throughput, conducting utilization review... patient and their caregivers, Attending Physician, Utilization Review Coordinator, and other members of the treatment team...

Job Description: Overview The Specialty Case Manager serves as an important member of the patient's treatment team... programs. This role is responsible for the following: extensive chart review, detailed patient needs assessment, promotion...

discharge planning. Performs utilization reviews, review medical records and coordinates with various payers to ensure payment..., and optimal recovery course/benchmarks. Support utilization review in monitoring, reporting and documenting on appeals...

of Case Management or Chronic Care Management 1+ years of utilization management experience Spanish-speaking preferred...) is looking for a Full-Time RN Case Manager (RN) to join us in the West and Northwest Houston, Texas region. * Must live locally...

Education: Bachelor's Degree and/or National Certification in Utilization Review or Case Management Minimum Experience: 1 - 3... of Utilization Review/Case Management course Required Certification: American Heart Association recognized BLS - Healthcare Provider...

such as LOS. Collaborates with utilization review team members on medical necessity determinations. Refers cases that need intervention...Serves as a member of the Case Management Team. Facilitates the delivery of quality, cost effective, patient-centered...

, including utilization management and intensive care management staff, providing expertise in designated programs. Assists... clinical management in the development and on-going management of designated staff. Performs care management review activities...

DFPS case plan. Update database regularly with most recent Service Management Plan of Care. Review information submitted... of case and/or utilization management experience. Experience in psychiatric health care settings, child behavioral health...

of classroom-based lectures, interactive case studies, hands-on working sessions, client role-playing scenarios, and real-time..., ROI; Tracking: Tracking, Utilization, Usage, SOB, LOT, Etc.; Forecasting and Launch: Model Building; Patient Analytics: Ad...

and monitoring resource utilization to achieve optimal clinical outcomes and financial goals. The Case Manager is responsible... with other program staff and physicians. Assist in utilization review process by contacting patients? insurance companies to provide...

) by the NC Social Work Certification and Licensure Board. Consult/Liason should also be a Notary. BEHAVIORAL HEALTH CASE MGR... transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources...