The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
Certified Case Manager
Middletown, DE · On-site
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
Certified Case Manager
Middletown, DE · On-site
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient ...
Utilization Management Nurse
Wilmington, DE · On-site
American Case Management Association Standards of Practice and Scope of Services (ACMA) The Utilization Management Nurse is accountable for adherence to policies and procedures of Nemours Children ...
Utilization Management Nurse
Wilmington, DE · On-site
American Case Management Association Standards of Practice and Scope of Services (ACMA) The Utilization Management Nurse is accountable for adherence to policies and procedures of Nemours Children ...
American Case Management Association Standards of Practice and Scope of Services (ACMA) The Utilization Management Nurse is accountable for adherence to policies and procedures of Nemours Children ...
American Case Management Association Standards of Practice and Scope of Services (ACMA) The Utilization Management Nurse is accountable for adherence to policies and procedures of Nemours Children ...
... utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: * Current RN licensure in state practicing * At least one year of Case Management experience ...
New
... utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: * Current RN licensure in state practicing * At least one year of Case Management experience ...
New
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ...
ACT Team Case Manager
Dover, DE · On-site
$17.38/hr
The Case Manager also manages case planning, utilization, data collection, and ongoing assessment to ensure clients receive the right level of care. RESPONSIBILITIES * Build relationships with ...
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ACT Team Case Manager
Dover, DE · On-site
$17.38/hr
The Case Manager also manages case planning, utilization, data collection, and ongoing assessment to ensure clients receive the right level of care. RESPONSIBILITIES * Build relationships with ...
RN Case Manager - Day Shift
Newark, DE · On-site
$41.28 - $66.05/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. Hourly Pay Range ...
RN Case Manager - Day Shift
Newark, DE · On-site
$41.28 - $66.05/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. Hourly Pay Range ...
RN Case Manager - Day Shift
Newark, DE · On-site
$41.28 - $66.05/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. Hourly Pay Range ...
RN Case Manager - Day Shift
Newark, DE · On-site
$41.28 - $66.05/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. Hourly Pay Range ...
RN Unit Base Case Manager - Weekender - Sign-on Bonus
Newark, DE · On-site
$40/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
RN Unit Base Case Manager - Weekender - Sign-on Bonus
Newark, DE · On-site
$40/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
RN Unit Base Case Manager - Weekender - Sign-on Bonus
Newark, DE · On-site
$40/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
RN Unit Base Case Manager - Weekender - Sign-on Bonus
Newark, DE · On-site
$40/hr
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and ...
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage ... Case Management Certification (CMC) is required within 18 months of eligibility. This is a flat ...
Utilization Case Manager information
What is a Utilization Case Manager?
A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.
What does a utilization case manager do?
A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.
How does a Utilization Case Manager typically collaborate with healthcare providers and insurance companies?
Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.
What jobs pay 4000 a week without a degree?
Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.
What is the highest paid case manager?
The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.
Is being a MOA a good entry level job?
A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.
What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?
To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.
What is the difference between Utilization Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific review of medical necessity and insurance claims |
While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.
What are popular job titles related to Utilization Case Manager jobs in Delaware? For Utilization Case Manager jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Delaware look for? The top searched job categories for Utilization Case Manager jobs in Delaware are:
What cities in Delaware are hiring for Utilization Case Manager jobs? Cities in Delaware with the most Utilization Case Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 3 days ago
Job description
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime.
Minimum Requirements:
- Current RN licensure in state practicing
- At least one year of Case Management experience preferred
- Current CPR if applicable
- TB questionnaire, PPD or chest x-ray if applicable
- Current Health certificate (per contract or state regulation)
- Must meet all federal, state and local requirements
- Must be at least 18 years of age
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
About Amergis
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