252 utilization manager jobs found in Hendersonville, NC

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Job Summary The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). This position works collaboratively with an interdisciplinary team (including physicians, other care providers, payers, etc.) to ensure the patient’s needs are met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the health system’s Utilization Review Plan. Responsibilities And Scope Uses approved criteria and conducts admission review/class change review as trigger by patient admission to the hospital to ensure appropriateness of the setting...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). This position works collaboratively with an interdisciplinary team (including physicians, other care providers, payers, etc.) to ensure the patient’s needs are met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the health system’s Utilization Review Plan. Responsibilities: Uses approved criteria and conducts admission review/class change review as trigger by patient admission to the hospital to ensure appropriateness of the setting and timely implementation of the plan of care. Identifies...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). This position works collaboratively with an interdisciplinary team (including physicians, other care providers, payers, etc.) to ensure the patient’s needs are met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the health system’s Utilization Review Plan. Responsibilities: Uses approved criteria and conducts admission review/class change review as trigger by patient admission to the hospital to ensure appropriateness of the setting and timely implementation of the plan of care. Identifies...

Join our dynamic Care Management Leadership Team as an on-site manager at our UNC Chapel Hill campus, where you'll lead a skilled group of Care Managers, Social Workers, and Care Management Assistants.    Candidate must be a  Registered Nurse (RN)  or  Licensed Clinical Social Worker (LCSW/LCSWA) Preference given to candidates with acute hospital experience  Monday-Friday schedule during traditional business hours On-call rotation (approximately every five weeks)       Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Responsible for day-to-day operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers, Clinical Authorization Specialists, and Operational staff. Accountable for...

Job Requirements At Spartanburg Regional Home Health, we are proud of our skilled, caring, trustworthy and compassionate Home Health experts. Our clinicians visit patient homes to deliver customized, physician-prescribed care after a hospital stay, illness or injury to rehabilitate and achieve optimal level of independence. Home Health is an alternative to repeated hospitalizations or an extended hospital stay. Nurses and medical professionals work closely with primary care physicians and ensure patients are receiving optimum care tailored to individual needs. Our Registered Nurses enjoy autonomy while caring for patients in their home environment. The team works with a wide variety of cases such as: Wound Care, Cardiac, Diabetes, Endocrine, Musculosketal, Pressure Ulcers, Infusion, etc. The average length of patient care is 47 days. The Registered Nurse provides skilled nursing services within the home care setting in accordance with the orders of a physician and...

Job Requirements SIGN ON BONUS $10,000.00 Eligible Experienced RN We are proud of our skilled, caring, trustworthy and compassionate Home Health experts. Our clinicians visit patient homes to deliver customized, physician-prescribed care after a hospital stay, illness or injury to rehabilitate and achieve optimal level of independence. Home Health is an alternative to repeated hospitalizations or an extended hospital stay. Nurses and medical professionals work closely with primary care physicians and ensure patients are receiving optimum care tailored to individual needs. Our Registered Nurses enjoy autonomy while caring for patients in their home environment. The team works with a wide variety of cases such as: Wound Care, Cardiac, Diabetes, Endocrine, Musculosketal, Pressure Ulcers, Infusion, etc. The average length of patient care is 47 days. The Registered Nurse provides skilled nursing services within the home care setting in accordance with the orders...

Job Requirements We are hiring a Registered Nurse to join our Home Health team! Full-Time Days; 8:30am - 5:00pm We are proud of our skilled, caring, trustworthy and compassionate Home Health experts. Our clinicians visit patient homes to deliver customized, physician-prescribed care after a hospital stay, illness or injury to rehabilitate and achieve optimal level of independence. Home Health is an alternative to repeated hospitalizations or an extended hospital stay. Nurses and medical professionals work closely with primary care physicians and ensure patients are receiving optimum care tailored to individual needs. Our Registered Nurses enjoy autonomy while caring for patients in their home environment. The team works with a wide variety of cases such as: Wound Care, Cardiac, Diabetes, Endocrine, Musculosketal, Pressure Ulcers, Infusion, etc. The average length of patient care is 47 days. The Registered Nurse provides skilled nursing services within the...

Job Requirements SIGN ON BONUS $10,000.00 Eligible Experienced RN We are hiring a Registered Nurse to join our Home Health team! Full-Time; 8:30 am- 5:00 pm We are proud of our skilled, caring, trustworthy and compassionate Home Health experts. Our clinicians visit patient homes to deliver customized, physician-prescribed care after a hospital stay, illness or injury to rehabilitate and achieve optimal level of independence. Home Health is an alternative to repeated hospitalizations or an extended hospital stay. Nurses and medical professionals work closely with primary care physicians and ensure patients are receiving optimum care tailored to individual needs. Our Registered Nurses enjoy autonomy while caring for patients in their home environment. The team works with a wide variety of cases such as: Wound Care, Cardiac, Diabetes, Endocrine, Musculosketal, Pressure Ulcers, Infusion, etc. The average length of patient care is 47 days. The Registered...

Job Requirements SIGN ON BONUS $10,000.00 Eligible Experienced RN We are hiring a Registered Nurse to join our Home Health team! Full-Time; 8:30 am- 5:00 pm We are proud of our skilled, caring, trustworthy and compassionate Home Health experts. Our clinicians visit patient homes to deliver customized, physician-prescribed care after a hospital stay, illness or injury to rehabilitate and achieve optimal level of independence. Home Health is an alternative to repeated hospitalizations or an extended hospital stay. Nurses and medical professionals work closely with primary care physicians and ensure patients are receiving optimum care tailored to individual needs. Our Registered Nurses enjoy autonomy while caring for patients in their home environment. The team works with a wide variety of cases such as: Wound Care, Cardiac, Diabetes, Endocrine, Musculosketal, Pressure Ulcers, Infusion, etc. The average length of patient care is 47 days. The Registered...

locationsColumbia County Medical Center Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-58714 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The Clinical Outcomes Manager (COM) is an advanced degree nurse with expert knowledge and clinical skills, instrumental in driving safe, high-quality care. Partnering with nursing executives, department, and physician leaders, the COM champions unit- and system-level improvements. This...

locationsColumbia County Medical Office time typeFull time posted onPosted 5 Days Ago job requisition idJR-75512 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Job Summary: The RN Clinical Charge Nurse is responsible for directing and overseeing the daily activities of the unit on an assigned shift to assure successful safe delivery of care. The Charge Nurse is a caregiver and often takes modified patient care assignment. They practice in a clinical environment that is administered by Nurse Managers...

locationsColumbia County Medical Office time typeFull time posted onPosted 5 Days Ago job requisition idJR-75513 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Job Summary: The RN Clinical Charge Nurse is responsible for directing and overseeing the daily activities of the unit on an assigned shift to assure successful safe delivery of care. The Charge Nurse is a caregiver and often takes modified patient care assignment. They practice in a clinical environment that is administered by Nurse Managers...

locationsAU Medical Associates, Inc. time typeFull time posted onPosted 6 Days Ago job requisition idJR-76857 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Various (United States of America) Job Summary: The RN Clinical Charge Nurse is responsible for directing and overseeing the daily activities of the unit on an assigned shift to assure successful safe delivery of care. The Charge Nurse is a caregiver and often takes modified patient care assignment. They practice in a clinical environment that is...

locationsWellstar MCG Health time typeFull time posted onPosted 4 Days Ago job requisition idJR-76406 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) About the Facility      Learn more about Wellstar MCG Health Medical Center , including our teams, culture, and campus environment:      Wellstar MCG Health Medical Center | Wellstar Health System      Hours: Full Time Days 36 Hours per week (3/12s) Job Summary: The LPN works under the direction of a...

Job ID: 27216 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Emergency Dept, Days Overview: RN - Emergency Dept Full Time Days Sign on Bonus up to $10,000 Piedmont Eastside Medical Center- Emergency Dept Snellville, GA · We are looking for positive, self-motivated, engaged and excited for growth individuals to join our team · 38 bed Emergency Department that sees on average 160 patients a day that present with various acuities. · We are a primary Stroke and Stemi receiving facility that is able to intervene and administer thrombolytics. · Two helicopter pads on campus for utilization · We have 5 PODs in our department, depending on acuity, is where the patient will be assigned · Behavioral Health Pod · We have Charge nurses, ED Flow Coordinators, Paramedics, ED Techs, PCTs, Mental Health...

Job ID: 26166 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Emergency Dept, Part Time, Days Overview: RN - Emergency Dept Part Time Days 2 x 12 hour shifts per week, some weekends Piedmont Eastside Medical Center- Emergency Dept Snellville, GA · We are looking for positive, self-motivated, engaged and excited for growth individuals to join our team · 38 bed Emergency Department that sees on average 160 patients a day that present with various acuities. · We are a primary Stroke and Stemi receiving facility that is able to intervene and administer thrombolytics. · Two helicopter pads on campus for utilization · We have 5 PODs in our department, depending on acuity, is where the patient will be assigned · Behavioral Health Pod · We have Charge nurses, ED Flow Coordinators, Paramedics, ED Techs,...

Job ID: 18119 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Emergency Dept, Part Time, Nights Overview: RN - Emergency Dept Part Time Nights, Sign on Bonus Available up to $7,500 *Schedule will be 2 x 12 hour shifts per week, some weekends Piedmont Eastside Medical Center- Emergency Dept · We are looking for positive, self-motivated, engaged and excited for growth individuals to join our team · 38 bed Emergency Department that sees on average 160 patients a day that present with various acuities. · We are a primary Stroke and Stemi receiving facility that is able to intervene and administer thrombolytics. · Two helicopter pads on campus for utilization · We have 5 PODs in our department, depending on acuity, is where the patient will be assigned · Behavioral Health Pod · We have Charge nurses,...

Job ID: 27480 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Emergency Dept, Evenings Overview: RN - Emergency Dept Full Time Evenings 3 x 12 hour shifts per week 11 am - 11pm *Sign on Bonus up to $10,000 available Piedmont Eastside Medical Center- Emergency Dept Snellville, GA · We are looking for positive, self-motivated, engaged and excited for growth individuals to join our team · 38 bed Emergency Department that sees on average 160 patients a day that present with various acuities. · We are a primary Stroke and Stemi receiving facility that is able to intervene and administer thrombolytics. · Two helicopter pads on campus for utilization · We have 5 PODs in our department, depending on acuity, is where the patient will be assigned · Behavioral Health Pod · We have Charge nurses, ED...

Job ID: 21821 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Emergency Dept, Nights Overview: RN- Emergency Dept, Full Time Nights *Sign on Bonus Available up to $15K Piedmont Eastside Medical Center- Emergency Dept We are looking for positive, self-motivated, engaged and excited for growth individuals to join our team 38 bed Emergency Department that sees on average 160 patients a day that present with various acuities. We are a primary Stroke and Stemi receiving facility that is able to intervene and administer thrombolytics. Two helicopter pads on campus for utilization We have 5 PODs in our department, depending on acuity, is where the patient will be assigned Behavioral Health Pod We have Charge nurses, ED Flow Coordinators, Paramedics, ED Techs, PCTs, Mental Health Technicians and Unit Secretaries who work in close collaboration with the ED...

locationsNorth Fulton Physicians Building time typeFull time posted onPosted Yesterday job requisition idJR-75085 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Shift/Schedule: 8am-4:30pm Monday-Thursday 8am-2:30pm Friday Job Summary: The RN Oncology Infusion Therapy Clinician functions under the direction of the Manager Infusion Therapy or other designated leader. The RN Oncology Infusion Therapy Clinician demonstrates knowledge, competency, and clinical expertise...

locationsNorth Fulton Hospital time typePart time posted onPosted 2 Days Ago job requisition idJR-73995 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The LPN works under the direction of the direction of a Registered Nurse or Nurse Manager and functions within the LPN Scope of Practice. Provides care for the patient. This includes age appropriate interventions that meet physical, emotional, developmental, psychosocial and educational needs. The LPN is...

locationsNorth Fulton Hospital time typeFull time posted onPosted 5 Days Ago job requisition idJR-73439 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The Clinical Coordinator Cath Lab is a registered nurse who functions under the direction of the Director or Manager Cardiovascular Services. He/she is responsible for the coordination of the day to day functions and activities of all nursing and cardiovascular specialist functions in the Cath Lab. The...

locationsNorth Fulton Hospital time typePart time posted onPosted Yesterday job requisition idJR-70662 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The LPN works under the direction of the direction of a Registered Nurse or Nurse Manager and functions within the LPN Scope of Practice. Provides care for the patient. This includes age appropriate interventions that meet physical, emotional, developmental, psychosocial and educational needs. The LPN is...

locationsWellstar North Fulton Medical Building time typePart time posted onPosted Yesterday job requisition idJR-73994 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Shift/Schedule: Part-Time/16 hrs/Days Job Summary: The LPN works under the direction of the direction of a Registered Nurse or Nurse Manager and functions within the LPN Scope of Practice. Provides care for the patient. This includes age appropriate interventions that meet physical, emotional,...