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Search Results: 350 Jobs

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Nurse Case Manager Opportunity

HPC

St. Louis, Missouri

Director Case Management

HARTZ Search

New Orleans, Louisiana

Director of Case Management

Spartanburg Regional Healthcare System

Spartanburg, South Carolina

Premera Blue Cross

Mountlake Terrace, Washington

Field Case Manager RN

Optum

State College, Pennsylvania

NEW!

Field Case Manager RN

Optum

Philadelphia, Pennsylvania

NEW!

RN Field Case Manager (Kidney Resource Services) - Las Vegas, NV

Optum

Las Vegas, Nevada

NEW!

RN Remote Nurse Case Manager Northern California

Optum

San Francisco, California

NEW!

Case Manager - Fort Mohave, AZ

Kindred Hospitals

Fort Mohave, Arizona

NEW!

Kindred Hospitals

Ontario, California

NEW!

RN Field Case Manager (Kidney Resource Services) - Newark, NJ

Optum

Newark, New Jersey

NEW!

Nurse Care Manager - Part-Time - Remote

Optum

Irving, Texas

Care Manager RN

Baylor Scott & White Health

DALLAS, Texas

Registered Nurse Care Manager (Navigator)

Veterans Affairs, Veterans Health Administration

Providence, Rhode Island

Nurse (PACT Care Manager)

Veterans Affairs, Veterans Health Administration

Astoria, Oregon

SUPV CASE MGR RN

UNM Hospital

Albuquerque, New Mexico

RN Field Case Manager (Kidney Resource Services) - New Orleans, LA

Optum

New Orleans, Louisiana

Registered Nurse (Case Manager-Interventional Radiology)

Veterans Affairs, Veterans Health Administration

Los Angeles, California

Onsite Care Manager at Optum Conway

Optum

Winter Garden, Florida

Licensed Vocational Nurse, Care Manager - Arcadia, CA

Optum

Arcadia, California

Care Manager RN 1 QA

Baylor Scott & White Health

DALLAS, Texas

Marriage and Family Therapist (Advanced) - Domiciliary Case Manager

Veterans Affairs, Veterans Health Administration

Des Moines, Iowa

Licensed Vocational Nurse, Care Manager - Arcadia, CA

Optum

Arcadia, California

RN Remote Case Manager - Oregon

Optum

Portland, Oregon

Nurse Case Manager - Remote

Optum

Traverse City, Michigan

Utilization Mgmt LVN

JOB SUMMARY: Manages Requests for Outside Services. Applies Screening Criteria for Harris Health eligible patients. Secures authorization for third party payers by providing pertinent clinical documentation according to payer guidelines. Communicates with clinic staff regarding insurance denials and impending insurance authorization expirations. Facilitates peer to peer review between the clinical staff and the payer for denied cases. Enters authorization information into EPIC Telephone Encounters. Schedule patients for outsourced procedures. Follows up with test results and ensure placement in EPIC for physician retrieval. Strong written and verbal skills are necessary in order to communicate with clinical staff and payers. MINIMUM QUALIFICATIONS: Edu

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Case Management Society of America
5034A Thoroughbred Lane
Brentwood, TN 37027

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