Utilization Review & Case Manager - Partial Hospitalization
Luminis-Health
Luminis Health in Lanham, MD seeks an experienced Utilization Review/Case Manager for the Partial Hospitalization Program. You will perform and monitor integrated utilization review and case referrals with clinical staff to assure appropriate patient placement. Requirements include a BA/BS and at least two years in utilization review or utilization management. Exempt status and strong documentation, communication, and data-tracking skills are required. #J-18808-Ljbffr Luminis-Health
$81.97k - $122.95k
Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial Hospitalization Reports To: Director- Clinical Director Behavioral Health Lanham Cost Center/Job Code: 41000-42002-001148 FLSA Status: Exempt Position...SuggestedFull time- Luminis Health in Bowie, MD, is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program. The role performs concurrent utilization review and manages case referrals, collaborating with clinical staff to secure documentation for review and optimal...Suggested
- ...Case Manager (RN) The Case Manager works under the direction of the... ...transitions across the continuum. Utilizing a collaborative process,... ...submit appropriate denial review for Medicare, Medicaid and commercial... ...risk, prolonged unnecessary hospitalization and readmission prevention....Suggested
$35 - $50 per hour
Position Objective The Case Manager works under the direction of the... ...transitions across the continuum. Utilizing a collaborative process,... ...submit appropriate denial review for Medicare, Medicaid and commercial... ...risk, prolonged unnecessary hospitalization and readmission prevention....SuggestedFull time$42.2 - $55.42 per hour
...care professionals. Effectively manages and coordinates assigned... ...as to decrease inappropriate utilization of medical services. In close... ...collaboration with the nurse case manager and other members of... ...Virginia,Arlington,Virginia Hospital Center Scheduled Weekly Hours...SuggestedFull timeWork experience placementLocal areaRelocation packageShift work- ...Description Job Description The Case Manager implements the individual... ...to develop case plans, review progress, and follow up on tasks... ...s environment by creating a hospitable, customer-oriented... ...Ability to think critically and utilize sound judgment. Ability to...Full timeCasual workMonday to FridayAfternoon shift
$87.17k - $145.27k
...Everything. Department: 10296 Hospital - Integrated Care Man Pay... ...and weekends Who We Are: Case Managers work within all areas of Children... .../project development, utilization management, clinical pathways... ...and family. Provide clinical reviews to third party payers using...For contractorsWork experience placementMonday to FridayWeekend work$64.4k - $79.86k
...determined based on education, relevant case management experience and relevant certifications... ...through monthly Town Halls and Annual Reviews Our roots at SCI extend back to 1982... ...policies and procedures. Meet performance utilization benchmark to ensure compliance with SCI...Temporary workH1bLive inWork at officeLocal areaShift work$144 per hour
...program office after complete review of the EDRP application.... ...advanced level psychosocial and/or case management Ability to incorporate... ...in the specialty area - utilizing outcome evaluations to improve... ...services including traditional hospital-based services such as...Permanent employmentFull timeInternshipWork at officeLocal areaRemote workRelocation packageMonday to FridayNight shift$144 per hour
...office after complete review of the EDRP application... ...Certification: In all cases - social workers must... ...diversified backgrounds utilizing counseling skills ~... ...monthly clinical case management contact with all high-... ...including traditional hospital-based services such as...Permanent employmentFull timeWork experience placementWork at officeImmediate startRemote workRelocation packageMonday to Friday- ...Job Description Case Manager Career Opportunity Recognized for your abilities as a Case... ..., and department operations. Review/analyze case management reports, including... ...the patient record. Participate in utilization review process: data collection, trend...Full timeContract workPart timeFlexible hours
- ...Case Manager ASHLIN Management Group is seeking a case manager to join our team. Qualifications... ...members. # Schedules appointments, reviews employment goals, and makes individual... ...preparation, and job search skills. # Utilizes group discussions and individual skill...Minimum wageFull timeFor contractorsLocal area
$25 per hour
...Case Manager for TANF Workforce Development Program The Case Manager for the Washington... ...meaningful progress toward employment. Review DHS-administered assessments, develop... ...delivery. Facilitate the successful utilization of job readiness training, rapid job searching...Hourly payTemporary workWork experience placement$23.08 - $28.85 per hour
...DayJob Category: Admin - ClericalCase Manager II The Case Manager II reports directly to the Program... ...in Data/Assessment/Plan (DAP) format Reviews and documents updates for IAPs monthly... ...Daily check-ins with clients in hospital, or isolation/quarantine on or offsite...Daily paidPermanent employmentTemporary workWork at officeImmediate startShift work$69.72k - $103.77k
Job Summary The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary... ...(1) year nursing experience; hospice or hospital experience preferred - Employees working...Local areaNight shift- ...Description General Description: The Housing Case Manager has a dynamic role working with clients... ...intensive case management services and utilizing the MCCH structured rapid move-out... ...case management services. Maintain and reviews clients' charts and files on a regular...Permanent employmentContract work1 day per week
- ...Job Description Job Description Position Function: The Case Manager is a member of the multidisciplinary HIV Clinical Care Team and... ...assessment for clients at the office, over the telephone, in a hospital, at the client’s home, or in other healthcare settings. Understands...For contractorsWork at office
$72.89k - $108.49k
...RN, Case Manager It's inspiring to work with a company where people truly BELIEVE in what... ...and identifying patient/family needs, utilizing the nursing process, coordinating the Plan... ...1) year nursing experience; hospice or hospital experience preferred Employees...Local areaImmediate startRelocation packageNight shift- ...grappling with mental health disorders. We're currently seeking a Case Manager to join our Lanham Region's PRP program. In this vital role,... ...and groups with clients as required Act as a liaison for hospitalized clients and follow up on somatic care referrals Join us at...Bi-weekly payFull timeTemporary workMonday to FridayNight shiftWeekend work
- ...Care Coordinator RN, Virginia Hospital Center The Patient Care... ...responsible for overseeing the management and coordination of care for... ..., patient/family, nursing, utilization review and other members of the... ...community providers and ambulatory case managers to assist with the...Work at office
$80k - $115k
...Job Description Job Title: HSCPC RN Case Manager Location: Washington DC Compensation... ...team focused on patient throughput, utilization management, intake coordination, discharge... ...strong relationships with referral hospitals and community partners Monitor KPIs...Full timeLocal areaMonday to Friday- Luminis Health is seeking a Case Manager to coordinate care for patients, ensuring safe and timely transitions across the continuum. You... ...to determine initial and ongoing levels of care and submitting reviews to insurers as needed. Requirements include a Maryland RN license...
- ...Job Description Job Description RN Case Manager – Washington, DC Duration: 13 weeks... ...experience preferred) Experience in: Acute Hospital Long-Term Acute Care / Rehab /... ...Coordination Discharge Planning Utilizing InterQual Criteria Utilizing...Contract workShift work
$89.07k - $162.8k
...Case Management Nurse Serves as a member of the Case Management Team and applies RN clinical expertise and... ...selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical...Temporary work$74.21k - $134.6k
...ill or are injured at work and hospital-wide immunizations to prevent... ...Collaborates with NP/PA Risk Management WC TPA and medical providers to monitor the progress of case management in terms of established... ...first aid and report review. Performs pre-employment physical...Temporary work$67k
...Case Manager The Case Manager, under the direct supervision of the Program Manager and general supervision of the Family Services Director... ...and articulate critical issues confronting the family. Review intake summary and in collaboration with the case manager, determine...Work experience placementRelocation package- ...SUD Peer Support Specialist / Case Manager will be responsible for providing substance abuse treatment services in an outpatient setting... ...in alcohol and drug counseling. 4. Counseling centers and hospitals require a master's degree in social work, arts or science....
$90k
Hospice RN Case Manager (Arlington/Fairfax County, VA) - up to $7,500 Sign-On Bonus About Us... ...regularly with the Hospice nursing staff to review problems or unique issues from caseloads... ...Care, Accident, Critical Illness, and Hospital Indemnity. Paid Time Off Paid Office...Full timeTemporary workWork experience placementWork at officeRemote workVisa sponsorshipRelocation packageFlexible hours- ...About the Facility: This is a hospital work setting, where you will be providing... ...them dedicated to Neonatal ICU. RN Case Manager - RESPONSIBILITIES (listed are included... ...community resources. Integrate CM and utilization management (UM) and integrate nursing...Local area
- ...Case Manager in Training Hospitality Experience Welcome! At Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to...Full timeWork experience placementWork at officeLocal area
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