Pontiac, MI · On-site
$2.1K - $2.2K/wk
Description: 2+ Years Case Management - Required 3 years acute hospital care experience - Required ... starting Utilization Review - Preferred Insurance Authorization experience - Preferred CCM ...
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Pontiac, MI · On-site
$2.1K - $2.2K/wk
Description: 2+ Years Case Management - Required 3 years acute hospital care experience - Required ... starting Utilization Review - Preferred Insurance Authorization experience - Preferred CCM ...
Midland, MI · On-site
Summary The RN Case Manager plays a pivotal role in maintaining the quality of care patients ... Accepts accountability for the clinical outcomes that the Utilization Review and Discharge Planning ...
Midland, MI · On-site
Summary The RN Case Manager plays a pivotal role in maintaining the quality of care patients ... Accepts accountability for the clinical outcomes that the Utilization Review and Discharge Planning ...
Owosso, MI · On-site
Prior Case Management or utilization review experience preferred. Case Management certification preferred. ESSENTIAL PHYSICAL REQUIREMENTS: Must be able to sit or stand for long periods of time; be ...
Owosso, MI · On-site
Prior Case Management or utilization review experience preferred. Case Management certification preferred. ESSENTIAL PHYSICAL REQUIREMENTS: Must be able to sit or stand for long periods of time; be ...
The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
... utilization management and discharge planning program including monitoring, evaluating and ... License- ER Experience Case Manager Experience Interqual Experience preferred Additional ...
... utilization management and discharge planning program including monitoring, evaluating and ... License- ER Experience Case Manager Experience Interqual Experience preferred Additional ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Auburn Hills, MI · On-site
The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
Detroit, MI · On-site
$21.50 - $28.25/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...
This position integrates national standards for case management scope of services including ... Utilization Management supporting medical necessity and denial prevention. Transition Management ...
This position integrates national standards for case management scope of services including ... Utilization Management supporting medical necessity and denial prevention. Transition Management ...
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
This position integrates national standards for case management scope of services including ... Utilization Management supporting medical necessity and denial prevention. Transition Management ...
This position integrates national standards for case management scope of services including ... Utilization Management supporting medical necessity and denial prevention. Transition Management ...
| 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.
Description:
2+ Years Case Management - Required
3 years acute hospital care experience - Required
BSN - Required
American Case Management Certification (ACM) - Required will accept if willing to obtain prior to starting
Utilization Review - Preferred
Insurance Authorization experience - Preferred
CCM - Preferred
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Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Recruiting and staffing services
1,001 - 5,000 Employees
Herndon, VA, US
2000
