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NorthBay Health
Overview
The Resource Specialist maximizes hospital resource utilization and coordinates post-hospital care or provides resources and education to patients, primarily supporting Social Services, Inpatient Case Management, and Population Health teams. Responsibilities include communicating with payers and outside agencies to facilitate discharges, coordinating various post-acute care services, and maintaining accurate documentation in the EMR system.
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Compensation
Salary not listed
Posted
3 days ago
WVU Medicine
The RN-ACT coordinates utilization review activities and provides professional nursing care to clients within the ACT Program. They are responsible for treatment planning, clinical assessments, and maintaining compliance with regulatory and accrediting standards.
4 days ago
Sanford Health
The therapist assesses clients and designs occupational therapy treatments to help them develop, maintain, and recover their ability to perform daily life occupations. This involves conducting evaluations, providing interventions for functional, cognitive, or behavioral impairments, and establishing/modifying therapeutic plans.
$36 - $52 / HOUR
8 days ago
The role involves planning, organizing, and delivering physical therapy programs to help patients recover mobility, relieve pain, increase strength, and prevent deformities through examinations, evaluations, and interventions. Responsibilities also include documenting patient information, establishing and modifying therapeutic plans, and educating patients and their families on home exercises.
$40 - $57 / HOUR
Jackson Health
The Attending Physician is responsible for the medical management of assigned patient care programs, performing medical examinations, assessments, diagnoses, and treatment for system patients daily. This role also involves maintaining communication with staff, coordinating patient care standards, and ensuring all necessary medical record documentation is completed.
LMH Health
The MSW Social Worker provides psychosocial services, including patient and family counseling, crisis intervention, and comprehensive discharge planning. They collaborate with multidisciplinary teams to evaluate patient needs and coordinate community resources for recovery.
10 days ago
Baystate Health
The Psychologist provides clinical services to patients, couples, and families, including conducting intake interviews, contributing diagnostic information, and participating in interdisciplinary treatment plan development. Responsibilities also involve providing age-appropriate treatment, developing measurable treatment plans, completing documentation, and potentially participating in teaching and supervision activities.
$87,859 - $119,412 / YEAR
15 days ago
Mass General Brigham
Coordinates healthcare services and referrals for patients within the facility and the surrounding community. Develops comprehensive care plans and manages authorizations with third-party payers to ensure reimbursement.
$28 - $68 / HOUR
24 days ago
Mount Sinai Health System
The role involves coordinating clinical information requests from third-party payers and supporting utilization management for patient admissions and stays. It also includes tracking concurrent adverse determinations and collaborating with the Appeals Management Department to handle retrospective denials.
25 days ago
Acadia
Provide administrative support to the Utilization department by performing pre-certifications and negotiating continued stays with third-party payers. Coordinate discharge planning with clinical teams and assist physicians with peer review data and scheduling.
Northeast Georgia Health System
The Registered Nurse RN - Inpatient Case Manager is responsible for comprehensive patient assessment, planning, and evaluation, collaborating with healthcare teams to ensure effective patient management. This role includes coordinating discharge plans and managing patient length of stay while adhering to regulatory compliance.
1 month ago
This role involves managing surgical scheduling by establishing and monitoring surgeon calendars in conjunction with the OR schedule to ensure timely case scheduling and optimal time utilization. Key duties include coordinating pre-admission testing, managing cancellations to keep the schedule full, assisting with urgent surgeries, and communicating necessary information to patients and families.
The Psychologist provides clinical services to patients, couples, and families in Outpatient Behavioral Health, conducting intake interviews, contributing diagnostic information, and participating in interdisciplinary treatment plan development. Responsibilities also include conducting psychological testing, providing age-appropriate treatment, and managing necessary documentation for reimbursement.
MALVERN INSTITUTE FOR PSYCHIATRIC & ALCOHOLIC STUDIES
Conduct continued stay reviews of medical records using pre-established criteria to secure payment certifications from third-party payers. Coordinate reviews and appeals while maintaining accurate work logs and communicating authorization details to the treatment team.
$28 - $35 / HOUR
PROGRESSIONS INC
Conduct continued stay reviews of medical records using pre-established criteria to secure payment certifications from third-party payers. Coordinate reviews and appeals while maintaining accurate documentation and communication with treatment teams and insurance carriers.
The RN Case Manager coordinates and supports healthcare within the facility while managing referrals for external services, focusing on developing and coordinating community service plans. Essential functions include conducting client assessments, modifying treatment plans, preparing patients for discharge, and communicating with third-party payers for authorization.
$58,656 - $142,449 / YEAR
UHS
The therapist provides individual, family, and group psychotherapy for adolescent patients in an outpatient setting. They also serve as a liaison with referring clinicians and actively participate in program development and research activities.
Ochsner Health
The RN Transition Navigator acts as a liaison between patients, caregivers, and healthcare providers to facilitate effective discharge planning and care transitions. They manage patient movement across the healthcare continuum to ensure quality, cost-effective outcomes while reinforcing post-discharge care plans.
The role involves managing surgical scheduling by establishing and monitoring surgeon calendars in conjunction with the OR schedule to ensure timely case scheduling and optimal time utilization. Key duties include coordinating pre-admission testing, managing cancellations to keep the schedule full, assisting with urgent surgeries, and communicating surgery details to patients and families.
CHARLOTTE BEHAVIORAL HEALTH CARE INC
The specialist will identify patients, verify insurance coverage, and coordinate with nursing staff to ensure authorization for inpatient treatment services. They are also responsible for drafting insurance appeals, maintaining accurate clinical documentation, and reporting census data.
$17 - $19 / HOUR
