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Keywords: Physician Advisor, Utilization Management, Location: USA

Page: 8

Case Manager - Case Management * Shift Varies - Resource

utilization management, care facilitation and discharge planning functions. Knowledge, Skills and Abilities: * Current and valid... efficiently and using good judgment required Essential Functions and Responsibilities: Utilization Management: * Applies...

Posted Date: 20 Sep 2025

Registered Nurse (RN)-Care Management Coordinator

party external review groups, as stipulated in contractual agreements. Refers cases to physician advisor as needed to ensure... staff caseloads in collaboration with the leader. Serves as liaison with physicians to address utilization management...

Location: Chicago, IL
Posted Date: 20 Sep 2025

(RN) Denials/Appeals Management Specialist

. Identifies process issues related to the concurrent Case Management system, including appropriate resource utilization.... Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical/clinical...

Company: MedStar Health
Location: Columbia, MD
Posted Date: 12 Sep 2025
Salary: $87318 - 157289 per year

Board Certified Physical Medicine & Rehabilitation and Pain Management

and Pain Management **This position is for Disability Reviews** Requirements: As a Physician Reviewer/Advisor... practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent...

Company: Sane Street
Location: USA
Posted Date: 11 Sep 2025

Corporate Director Case Management and Social Work

and system physician leaders to optimize the Utilization Management Committee, providing actionable data related to utilization... of service: Education, Care Coordination, Compliance, Transition Management and Resource Utilization. Collaborates with case...

Location: Lynchburg, VA
Posted Date: 10 Sep 2025

Per Diem RN - Case Management - Sharp Grossmont Hospital - PD - Days

process. Maintain current knowledge of case management, utilization management, and discharge planning, as specified by Sharp... as appropriate in Cerner and Allscripts Care Management and provides information to the department head as indicated. * Utilization...

Company: Sharp HealthCare
Location: La Mesa, CA
Posted Date: 05 Sep 2025
Salary: $67860 - 89620 per year

RN/Case Manager-MSH-Case Management-FT-Days

where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal... to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely...

Posted Date: 29 Aug 2025
Salary: $63.28 per hour

Care Coordinator, Care Management

as a leader of positive change. The Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...

Posted Date: 28 Aug 2025
Salary: $45375.2 per year

RN Care Coordinator - Care Management (Monday-Friday 8am-5pm)

and understanding in response to patient and customer requests/needs · Partners with physicians and the Physician Advisor(s) to build... Management CCM or ACM-RN to be obtained within 3 years from date of hire. Preferred Qualifications: Bachelor's degree...

Posted Date: 28 Aug 2025

RN/Case Manager-MSH-Case Management-FT-Days

. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum...Job Description: Description RN/Case Manager MSH Case Management FT Days The Case Manager (CM...

Posted Date: 20 Aug 2025
Salary: $63.28 per hour

RN/Case Manager-MSH-Case Management-FT-Days

to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management... with interdisciplinary team on strategies to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor...

Posted Date: 20 Aug 2025
Salary: $63.28 per hour

RN Case Manager- Case Management

, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc. Works with the Utilization Department, Physician Advisors... plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor...

Company: Health First
Location: Melbourne, FL
Posted Date: 16 Aug 2025

Bleeding Management Hospital Specialty Sales Representative - Kansas City/St. Louis

primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products... within the Bleeding Management product portfolio with a primary responsibility for the launch of a new product within identified...

Company: Grifols
Location: Kansas City, MO
Posted Date: 13 Aug 2025

Case Manager (RN) - Case Management * Evenings - 40hrs/wk

utilization management, care facilitation and discharge planning functions. Knowledge, Skills and Abilities: * Current and valid... efficiently and using good judgment required Essential Functions and Responsibilities: Utilization Management: * Applies...

Posted Date: 12 Aug 2025

Pain Management- Independent Medical Examiner (IME)

review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...

Company: Sane Street
Location: Ocala, FL
Posted Date: 09 Aug 2025

Pain Management- Independent Medical Examiner (IME)

/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...

Company: Dane Street
Location: Ocala, FL
Posted Date: 08 Aug 2025

Care Management (RN) - Milford (part-time)

management activities. Confers with Physician Advisor regarding complex cases requiring physician input regarding the treatment... Management RN to join our team. The Care Management Nurse (RN) coordinates the utilization of pediatric healthcare resources...

Company: Nemours
Location: Milford, DE
Posted Date: 20 Jul 2025

RN Case Manager - Case Management

, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc. Works with the Utilization Department, Physician Advisors... plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor...

Company: Health First
Location: Melbourne, FL
Posted Date: 19 Jul 2025

RN Case Manager - Case Management

, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc. Works with the Utilization Department, Physician Advisors... plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor...

Company: Health First
Location: Melbourne, FL
Posted Date: 18 Jul 2025

RN Case Manager - Case Management

, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc. Works with the Utilization Department, Physician Advisors... plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor...

Company: Health First
Location: Cocoa Beach, FL
Posted Date: 11 Jul 2025