Senior Utilization Review Case Manager
Cleveland Clinic Abu Dhabi
The Cleveland Clinic Abu Dhabi LLC is seeking an experienced RN Case Manager to support Utilization Management, medical necessity assessment, and patient status determination. The role involves concurrent and retrospective reviews, data tracking, and interdepartmental collaboration to optimize care and resource use. The incumbent will lead ongoing education for inpatient case managers, ED case managers, and other colleagues, participate in CM department orientation, and contribute to process #J-18808-Ljbffr
- ...SUNY Downstate Health Sciences University in Brooklyn seeks a full-time Utilization Review & Quality Assurance Senior Coordinator / Rehabilitation Case Manager to lead case reviews and coordinate discharge planning within the Rehabilitation Medicine team. The role requires...SeniorFull timeDay shift
- ...The Case Management team shall operate in an effort to deliver the most efficient, effective allocation of health care resources, while... ...with relation to admission and continued stay. The Utilization Review (UR)case manager (CM) has well-developed knowledge and skills...SuggestedWork at officeRelocation
- ...University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care....SuggestedFull timeRemote work
- ...CorVel in the United States is seeking a Utilization Review Case Manager to gather demographic and clinical information, certify medical necessity, and assign appropriate length of stay for inpatient and outpatient treatment. This remote role requires strong CPT/ICD coding...SuggestedRemote work
- ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to Know Your Team: INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking...SuggestedFull timeWork at officeRemote workWeekend work
- ...OU Health is seeking a Case Manager, RN - Utilization Review (PRN) to evaluate medical necessity and appropriate care, securing authorizations and coordinating with payors, patients, and interdisciplinary teams. This role emphasizes HIPAA compliance and strong communication...ReliefRemote work
- ...Integrated Management Strategies, LLC is seeking an experienced Sr Review Coordinator for our healthcare consulting practice. This fully remote role within the United States focuses on utilization review of plans of service for home and community-based programs, supporting...SeniorRemote workWork from home
$65k - $70k
...self-sufficiency, and personal growth. Utilize trauma-informed and evidence-based approaches... ..., and professional development to Case Managers and MSW interns. Conduct individual and... ...and multidisciplinary team meetings to review participant progress and address complex...SeniorInternshipLocal areaWork visa$24 - $31 per hour
...tuition costs, and text books. Overview The Senior Case Manager is responsible for case management and... ...with training and caseload reviews, serves as the lead case manager when... ...health services, and financial management. Utilizing the vast array of internal services available...SeniorTemporary workWork at officeLocal areaImmediate startFlexible hoursNight shiftWeekend work$223.2k - $262.7k
...West Monroe is seeking a Senior Principal to lead our... ...Distributed Energy Resource Management Systems (DERMS)... ...capability within the Energy & Utilities practice. This role is... ...strategy, business case development, requirements... ...@westmonroe.com.Please review our current policy...SeniorLocal areaImmediate startFlexible hours- ...ICL Bronx is seeking a Senior Case Manager to support consumers living in independent apartments within the community. You will help clients... ...living. Responsibilities include counseling, developing and reviewing treatment plans, maintaining records, and coordinating with...Senior
- ...Integra Partners is seeking a Senior Utilization Management Audit & Compliance Analyst to serve as the subject matter expert for external audits, regulatory inquiries, and UM oversight. You will review audit requests, analyze UM data in Essette, and prepare professional...SeniorRemote work
- ...and provide, ongoing coordination and management of service delivery through an integrated case management approach. Performs medical necessity review that includes concurrent,... ...timelines and quality standards related to Utilization Management. Maintain and submit reports...Work at office
$23.62 - $26.58 per hour
...clients. Conduct client centered safety assessment and risk management planning. Provides crisis intervention and direct assistance... ...Engages in regular supervision meetings with supervisors to review cases, reflect on client interaction and build skills. Maintains thorough...SeniorHourly payFull timeContract workWork at officeRemote workRelocation packageFlexible hours$25 per hour
The Senior Case Manager oversees referral and intake coordination, ensuring timely review, scheduling, assignment, and follow-up of priority referrals. The role manages case distribution, supports CM coverage and escalations, assists with training and onboarding, and identifies...SeniorWork at officeRemote work$28.89 per hour
Overview Senior Case Manager Non-Profit Leaders Can Work Anywhere….The BEST Work with Us! $28.89 per hour A nationally recognized comprehensive... ...goals and documents via progress notes. Conducts periodic reviews of all case documentation to ensure accuracy, completeness,...SeniorHourly payContract workFlexible hours$50k
...offers the community, from children to seniors, a pathway to behavioral and primary healthcare... ...Rico. POSITION OVERVIEW: The Senior Case Manager will lead and support shelter case... ...course of action by making decisions and utilizing independent judgment. Maintain records...SeniorImmediate start- ...745 East 178th Street, Bronx, NY 10457 What You'll Do As a Senior Case Manager, you’ll provide emergency crisis intervention to individuals... ...Supervisor via case conferences, case consultations, and case record reviews to ensure a high standard of service delivery and program...SeniorWork at officeImmediate startWeekend workAfternoon shift
$45k - $50k
...for an accommodation or an alternative application process. Senior Case Manager Full time Professional Queens, NY, US Salary Range: $45,000.... ...plans, and client interactions are appropriately documented. Reviews all required case management documentation and any data...SeniorFull timeAfternoon shift- ...quarterly service-plan reviews, assessments, medical records... ...computer. Maintains a case-record for each... ...designated by program management. Executes emergency plans... ...Additional duties of Senior Case Manager: Caseload... ...training of spreadsheets utilized for case management. ESSENTIAL...SeniorImmediate start
- RMI is seeking a Senior Associate for its Electricity Program to advance utility ratemaking, cost allocation, and regulatory analysis. This role combines rigorous... ...stakeholder engagement and policy translation. You will review filings, craft analytical questions, and lead...SeniorRemote jobFlexible hours
- Citi Hungary is seeking a Credit Review Senior Officer to provide independent assurance over credit risk management. You will manage Review Entities, perform quarterly monitoring... ...on accuracy and consistency. The role utilizes Citi‑approved AI tools to enhance data...Senior
- The State of Delaware seeks a Behavioral Health Case Manager III to lead case management in a behavioral health setting, coordinating services... ...maintaining electronic plan-of-care records, and conducting quality chart reviews to support unit fidelity. #J-18808-Ljbffr DelDOTSeniorCasual workSeasonal workRemote work
- ...The Ward Law Group is seeking an experienced Personal Injury Senior Case Manager to join our New York personal injury team. This is an... ...treatment, documentation, and next steps Gather, organize, and review medical records, medical bills, accident reports, insurance...SeniorFull timeTemporary workWork at office
$56k - $60k
...designated as street homeless. Units are in the Bronx. Position: Senior Case Manager Reports To: Senior Program Manager Location: 240 West... ..., Bronx, NY 10458 What The Senior Case Manager Does: Review all documentation establishing tenants' eligibility for...SeniorFull timeTemporary workLive inWork at officeImmediate startFlexible hoursShift work$34.07 - $36.27 per hour
Title: Senior Case ManagerUnit: Housing (MOC-J Emergency Transitional Housing)Reports to: Program... ...in obtaining benefits, a care management unit, HIV services, a food and nutrition... ...for emergencies and support (required);Review intake interviews and needs assessments...SeniorHourly payPermanent employmentFull timeContract workLocal areaMonday to Friday- Title: Senior Case ManagerLocation: New York City Metropolitan AreaReports to: Director of Social... ...per week)Role Summary: The Senior Case Manager plays a pivotal role in overseeing the... ...with community organizations, as needed.Review and assess initial intake and...SeniorFull timeTemporary workLocal areaWeekend workAfternoon shift
$31.25 per hour
...health challenges and disabilities, and seniors. With an annual operating budget... .... Position Overview As Senior Clinical Case Manager, reporting directly to the Director of... ...management staff, and team case conferences. Utilizing the AWARDS electronic case management system...SeniorPermanent employmentWork at officeWeekend workAfternoon shift$56k - $60k
...designated as street homeless. Units are in the Bronx. Position: Senior Case Manager Reports To: Senior Program Manager Location: 240... ..., NY 10458 What The Senior Case Manager Does: Review all documentation establishing tenants’ eligibility for...SeniorFull timeTemporary workWork at officeImmediate startFlexible hoursShift work
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