Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review & Case Manager - Partial Hospitalization in Lanham, MD vacancy
  • $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... 
    Suggested
    Full time

    Luminis-Health

    Lanham, MD
    2 days ago
  • 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

    Luminis Health

    Bowie, MD
    3 days ago
  •  ...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

    Luminis Health

    Lanham, MD
    11 hours ago
  • $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.... 
    Suggested
    Full time

    Luminis Health Inc

    Lanham, MD
    1 day ago
  • $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... 
    Suggested
    Full time
    Work experience placement
    Local area
    Relocation package
    Shift work

    Kaiser Permanente

    Arlington, VA
    20 hours ago
  •  ...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 time
    Casual work
    Monday to Friday
    Afternoon shift

    Metropolitan Educational Solutions

    Washington DC
    9 days ago
  • $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 contractors
    Work experience placement
    Monday to Friday
    Weekend work

    Children's National Medical Center

    Washington DC
    20 hours ago
  • $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 work
    H1b
    Live in
    Work at office
    Local area
    Shift work

    service coordination

    Lanham, MD
    3 days ago
  • $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 employment
    Full time
    Internship
    Work at office
    Local area
    Remote work
    Relocation package
    Monday to Friday
    Night shift

    Veterans Affairs, Veterans Health Administration

    Washington DC
    a month ago
  • $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 employment
    Full time
    Work experience placement
    Work at office
    Immediate start
    Remote work
    Relocation package
    Monday to Friday

    Veterans Affairs, Veterans Health Administration

    Washington DC
    a month ago
  •  ...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 time
    Contract work
    Part time
    Flexible hours

    Encompass Health

    Bowie, MD
    4 days ago
  •  ...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 wage
    Full time
    For contractors
    Local area

    Ashlin Management Group

    Washington DC
    3 days ago
  • $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 pay
    Temporary work
    Work experience placement

    The Fedcap Group

    Washington DC
    1 day ago
  • $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 paid
    Permanent employment
    Temporary work
    Work at office
    Immediate start
    Shift work

    U.S.Vets

    Washington DC
    20 hours ago
  • $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 area
    Night shift

    Chapters Health System

    Lanham, MD
    20 hours ago
  •  ...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 employment
    Contract work
    1 day per week

    The Montgomery County Coalition

    Silver Spring, MD
    2 days ago
  •  ...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 contractors
    Work at office

    Promethean Consulting Inc.

    Greenbelt, MD
    20 days ago
  • $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 area
    Immediate start
    Relocation package
    Night shift

    Capital Caring Health

    Washington DC
    4 days ago
  •  ...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 pay
    Full time
    Temporary work
    Monday to Friday
    Night shift
    Weekend work

    Vesta, Inc

    Lanham, MD
    20 hours ago
  •  ...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

    Kaiser Permanente

    Arlington, VA
    11 hours ago
  • $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 time
    Local area
    Monday to Friday

    Addison Group

    Washington DC
    9 days ago
  • 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... 

    Luminis Health

    Lanham, MD
    3 days ago
  •  ...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 work
    Shift work

    Lancesoft INC

    Washington DC
    more than 2 months ago
  • $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

    Medstar Health

    Washington DC
    20 hours ago
  • $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

    Medstar Health

    Washington DC
    20 hours ago
  • $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 placement
    Relocation package

    Collaborative Solutions for Communities

    Washington DC
    1 day ago
  •  ...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.... 

    Creative Pathways

    Washington DC
    4 days ago
  • $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 time
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Visa sponsorship
    Relocation package
    Flexible hours

    Ennoble Care

    Arlington, VA
    4 days ago
  •  ...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

    KurzSolutions

    Washington DC
    1 day ago
  •  ...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 time
    Work experience placement
    Work at office
    Local area

    Morgan & Morgan

    Washington DC
    20 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review & Case Manager - Partial Hospitalization. Be the first to apply!