604 utilization manager jobs found

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 Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed...

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed...

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...

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Care Manager - RN provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and departmental guidelines and policies. Responsibilities: Reviews new admissions and prioritize patients...

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Care Manager - RN provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and departmental guidelines and policies. Responsibilities: Reviews new admissions and prioritize patients...

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 ID: 29640 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN Emergency Flow Coord, Nights Overview: RN Emergency Dept Flow Coordinator 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...

Job ID: 27479 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...

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372550 Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center , Spring Valley Hospital Medical Center , Summerlin Hospital Medical Center Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital. Benefit Highlights: Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career opportunities within VHS and UHS Subsidies Challenging and rewarding work environment Comprehensive education and training center Job Description: Under the supervision of the Regional Manager CDI manages day-to-day workflow, specifically the operations of the Clinical...

locationsWellstar MCG Health time typeFull time posted onPosted Today job requisition idJR-78168 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 Night (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 Nights 36 Hours per week (3/12s)    Sign on Bonus Available Job Summary: The RN...

locationsKennestone Hospital time typePart time posted onPosted Yesterday job requisition idJR-78140 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 Night (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...

locationsCobb Hospital time typeFull time posted onPosted 6 Days Ago job requisition idJR-77545 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) Hours: 7AM-5:30PM-Monday-Friday-4/10's Call Required within 30 minute Holiday Call Required-Weekends Included when on Call Bonus Eligible for Qualified RN Candidates Job Summary: Functions under the direction of the Site Manager. He/she is responsible for performing a wide variety of clinical procedures requiring...

locationsKennestone Hospital time typeFull time posted onPosted Yesterday job requisition idJR-74288 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 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...

locationsKennestone Hospital time typePart time posted onPosted Yesterday job requisition idJR-78124 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 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...

locationsKennestone Hospital time typeFull time posted onPosted 4 Days Ago job requisition idJR-77480 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: Days/4 - 10hr Shifts 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 in oncology infusion therapy including...

locationsNorth Fulton Hospital time typeFull time posted onPosted 4 Days Ago job requisition idJR-77641 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 Wound, Ostomy, and Continence Clinical Nurse (WOCN) functions under the direction of the Nurse Manager and provides acute and rehabilitative care for people with select disorders of the GI, GU and Integumentary systems. The WOCN serves as a resource to nursing and medical staff and is responsible for delivering in-depth, comprehensive...

locationsKennestone Hospital time typeFull time posted onPosted Yesterday job requisition idJR-77081 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 Night (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...

locationsPaulding Hospital time typeFull time posted onPosted 12 Days Ago job requisition idJR-71250 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: Fulltime Night Shift 7p-7a for Paulding Hospital ICU Magnet Designated/Baldrige award/Prism award with 4 Star CMS scores 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...

locationsKennestone Hospital time typeFull time posted onPosted 30+ Days Ago job requisition idJR-65867 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 Night (United States of America) WellStar Yellow Tower has an opportunity for a Charge Registered Nurse (RN) - Cardiac Telemetry/ Congestive Heart Failure Full Time - Night Shift Competitive Sign-on Bonuses and Relocation Assistance Available - Apply Today! Overview When you become a member of the Cardiac Service Line at Wellstar...

locationsNorth Fulton Hospital time typePart time posted onPosted Today job requisition idJR-74967 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: Functions under the direction of the Site Manager. He/she is responsible for performing a wide variety of clinical procedures requiring independent judgement, ingenuity and initiative in the utilization of the equipment for the diagnosis and/or treatment Core Responsibilities and Essential Functions: Builds a...

locationsNorth Fulton Hospital time typePart time posted onPosted Today job requisition idJR-75436 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: Functions under the direction of the Site Manager. He/she is responsible for performing a wide variety of clinical procedures requiring independent judgement, ingenuity and initiative in the utilization of the equipment for the diagnosis and/or treatment Core Responsibilities and Essential Functions: Builds a...