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ClearSky Health
Overview
The Case Manager collaborates with physicians and the multidisciplinary team to create and monitor patient care plans, ensuring progress toward desired outcomes by identifying and resolving barriers to effective care. This role is actively involved in discharge planning, documenting coordination, managing length of stay, and conducting utilization reviews.
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Compensation
Salary not listed
Posted
29 days ago
UHS
The clinical associate will perform retrospective reviews for payors and enter appropriate coding based on documentation. The role may require working weekends, holidays, and on-call status.
1 month ago
The Utilization Review Clinician manages, reviews, and monitors resource utilization for patients to maximize care effectiveness by evaluating clinical appropriateness. This role acts as a liaison between payors, the business office, and the treatment team to ensure optimal patient care and reimbursement, including securing authorizations for services.
2 months ago
Encompass Health
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Responsibilities include guiding treatment plans, facilitating conferences, monitoring service appropriateness, and ensuring accurate discharge and payor-related information.
The Utilization Management Coordinator provides an ongoing, systematic process for assessing the necessity and efficiency of services provided by Via Linda Behavioral Hospital. This role involves interfacing with managed care organizations, external reviewers, and payors for reviews and discharge planning, while also assisting in maintaining high-quality patient care.
The Clinical Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Responsibilities include guiding treatment plans, facilitating team conferences, monitoring service appropriateness, and ensuring timely discharge planning.
$5,000 / YEAR
The Clinical Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include facilitating team conferences, monitoring service appropriateness, and ensuring timely procurement of post-discharge resources.
Pinellas County Rehabilitation Hospital
The Clinical Liaison coordinates between internal and external referral sources and acute inpatient rehabilitation operations, establishing relationships with case coordinators, physicians, payors, and other referral sources. This role ensures appropriate patient placement through clinical screenings and assessments in collaboration with hospital Case Coordination and the Medical Director.
Lifepoint Health
The Licensed Practical Nurse (LPN) provides direct patient care under the supervision of a Registered Nurse (RN), primarily working in triage while also filling in other clinic areas as needed. Responsibilities include collecting patient data for RN assessment, managing precertifications for hospital admissions to ensure medical necessity, and evaluating patient status for appropriate reimbursement.
3 months ago
Neuropsychiatric Hospitals
The Utilization Review Nurse will coordinate and support the hospital’s Utilization Review and Case Management program to ensure appropriate level of care, efficient resource use, and timely discharge planning. This involves reviewing patient charts, communicating with payors, and collaborating with multidisciplinary teams to support positive patient outcomes.
The Clinical Liaison coordinates between internal and external referral sources and acute inpatient rehabilitation operations by establishing relationships with key contacts like case coordinators and physicians. This role ensures appropriate patient placement through clinical screenings and assessments in collaboration with hospital staff and the Medical Director.
Oregon Health & Science University
RN Case Managers assess patients upon admission for support and discharge needs, engaging in daily multidisciplinary rounds to develop and implement cost-efficient discharge plans. They collaborate with various stakeholders to ensure appropriate patient progress and level of care, practicing robust utilization and resource management.
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include guiding treatment plans, establishing discharge plans, monitoring service appropriateness, and completing required documentation and case management addendums.
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include guiding treatment plans, facilitating team conferences, monitoring service appropriateness, and ensuring timely discharge planning and resource procurement.
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include guiding treatment plans, coordinating discharge experiences, monitoring service appropriateness, and completing required documentation and compliance reviews.
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include working with the team to guide treatment plans, coordinating discharge logistics, monitoring service appropriateness, and completing all required case management documentation.
$35 / HOUR
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions. Key duties include working with the interdisciplinary team to guide treatment plans, coordinating discharge experiences, and monitoring service appropriateness and compliance with regulations.
Legacy Health Services
The Case Manager will act as a liaison between patients, payors, physicians, and care teams to ensure timely, accurate, and cost-effective care coordination throughout the post-acute skilled stay. Key duties include maintaining contract knowledge, negotiating care levels, coordinating transitions, completing authorizations, and serving as the primary point of contact for care coordination.
The Case Manager will manage resources and coordinate patient care from admission through post-discharge, overseeing interdisciplinary plan-of-care decisions based on patient needs and preferences. Key duties include facilitating team conferences, monitoring service appropriateness, completing required documentation, and ensuring timely procurement of post-discharge resources.
COMPREHENSIVE HEALTHCARE
The Clinical Review Specialist verifies client insurance coverage, obtains necessary payor authorizations for treatment throughout placement, and conducts clinical record reviews to ensure appropriate levels of care are provided. Duties also involve working collaboratively with clinical staff, providing utilization management reviews, and tracking authorizing bodies to identify and improve patterns of problems.
$22 - $33 / HOUR
