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Luminis HealthNew
Overview
The Case Manager coordinates patient care to ensure safe and seamless transitions across the healthcare continuum using collaborative and evidence-based methods. They are responsible for assessing patient needs, managing observation stays, and maintaining accurate clinical documentation in Epic.
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Compensation
$35 - $50 / HOUR
Posted
New
UnitedHealth GroupNew
Perform administrative reviews of short stay inpatient hospital claims based on Federal, State, and client requirements. Responsible for documenting all determinations and maintaining accurate use of screening criteria.
$29 - $52 / HOUR
Gainwell Technologies LLC
The Nurse Reviewer will perform clinical reviews to assess the appropriateness of care based on medical record documentation. This includes documenting findings, determining approvals, and assisting in training new Nurse Reviewers.
$65,000 - $75,000 / YEAR
3 days ago
Keck Medicine of USC
Facilitates discharge planning and throughput by coordinating post-acute services and communicating plans to patients and families. Supports the ambulatory care manager in managing complex case loads and ensuring cost-effective, quality health outcomes.
$29 - $45 / HOUR
5 days ago
University of Southern California
Provides support to the Case Management team to facilitate discharge planning and ensure appropriate patient throughput. Coordinates post-acute services and collaborates with interdisciplinary teams to promote cost-effective, quality health outcomes.
NeueHealth
The Utilization Management Nurse evaluates and processes prior authorization requests for medical procedures, medications, and services to ensure clinical appropriateness. They also collaborate with medical directors and healthcare providers to facilitate coverage decisions and maintain compliance with regulatory standards.
$74,260 - $111,391 / YEAR
The Utilization Review Nurse will conduct reviews for medical necessity and appropriateness of services, ensuring compliance with clinical criteria and policies. This includes engaging with providers, documenting findings, and assisting in training new nurses.
$65,000 - $78,000 / YEAR
6 days ago
Duke Health
The Licensed Clinical Social Worker manages a caseload to provide psychosocial assessments, crisis intervention, and discharge planning for inpatient surgery patients. They ensure compliance with regulatory standards while coordinating care transitions across the health system.
Salary not listed
9 days ago
The Licensed Clinical Social Worker manages a caseload to provide psychosocial assessments, crisis intervention, and discharge planning for inpatient surgery patients. They ensure compliance with regulatory standards while coordinating care transitions and collaborating with multidisciplinary teams.
Duke Careers
The Licensed Clinical Social Worker manages a caseload to provide psychosocial assessments, crisis intervention, and comprehensive discharge planning. They collaborate with multidisciplinary teams to ensure safe care transitions and compliance with regulatory standards.
14 days ago
The Licensed Clinical Social Worker manages a caseload to provide psychosocial assessments, crisis intervention, and discharge planning for inpatient surgery patients. They collaborate with multidisciplinary teams to ensure safe care transitions and compliance with regulatory standards.
Facilitates the transition of patients from hospital to home or post-acute care by coordinating with case managers and social workers. Manages non-clinical discharge aspects, performs post-discharge follow-up calls, and ensures continuity of care through resource connection.
$28 - $48 / HOUR
18 days ago
Facilitates patient discharge planning and transitions of care by coordinating with case managers, social workers, and post-acute providers. Manages non-clinical discharge aspects and performs post-discharge follow-up calls to ensure continuity of care.
Molina Healthcare
Provides support for member housing and placement activities, specifically assisting those at risk of homelessness or recently discharged from institutions. Manages rapid re-housing programs and coordinates with landlords and community agencies to ensure member stability.
22 days ago
Access Healthcare Staffing & Recruitment
The Utilization Review Nurse evaluates patient admissions to ensure medical necessity and appropriate resource utilization. They analyze medical records to verify that care aligns with established clinical and regulatory standards.
$40 - $63 / HOUR
23 days ago
29 days ago
Emergent Holdings
The RN Case Manager develops and implements individualized treatment plans for members with complex health conditions via telephonic assessments. They coordinate internal and external resources to optimize health outcomes and ensure cost-effective delivery of healthcare benefits.
1 month ago
Sanctuary Recovery Centers
Manage initial and concurrent authorizations for behavioral health services while ensuring compliance with AHCCCS guidelines and medical necessity criteria. Coordinate with clinical staff and payers to maintain accurate records in the EHR and prevent gaps in coverage.
Luminis Health
The Case Manager coordinates patient care to ensure safe and timely transitions across the healthcare continuum using evidence-based guidelines. Responsibilities include assessing patient needs, managing observation stays, and developing comprehensive transition plans for post-acute care.
