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Search Results: 533 Jobs

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Patient Resource Coordinator - Inpatient Case Management

Cambridge Health Alliance

Everett, Massachusetts

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!

ASST CASE MANAGEMENT

UNM Hospital

Albuquerque, New Mexico

NEW!

ASST CASE MANAGEMENT

UNM Hospital

Albuquerque, New Mexico

NEW!

Kindred Hospitals

Ontario, California

NEW!

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

Optum

Newark, New Jersey

NEW!

RN Case Manager - Long Term Care - Somerset and Morris Counties, NJ

Optum

Somerset, New Jersey

NEW!

Nurse Care Manager - Part-Time - Remote

Optum

Irving, Texas

NEW!

Care Manager RN

Baylor Scott & White Health

DALLAS, Texas

NEW!

Registered Nurse Care Manager (Navigator)

Veterans Affairs, Veterans Health Administration

Providence, Rhode Island

NEW!

Nurse (PACT Care Manager)

Veterans Affairs, Veterans Health Administration

Astoria, Oregon

NEW!

Case Manager RN -Telecommute with 10% travel in Omaha NE area

Optum

Omaha, Nebraska

NEW!

SUPV CASE MGR RN

UNM Hospital

Albuquerque, New Mexico

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

Optum

New Orleans, Louisiana

NEW!

Registered Nurse (Case Manager-Interventional Radiology)

Veterans Affairs, Veterans Health Administration

Los Angeles, California

NEW!

Onsite Care Manager at Optum Conway

Optum

Winter Garden, Florida

NEW!

Licensed Vocational Nurse, Care Manager - Arcadia, CA

Optum

Arcadia, California

NEW!

Utilization Management Specialist

Description Utilization Management Specialist JOB SUMMARY: Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary review when appropriate. Refers and consult with the multidisciplinary team to promote appropriate communication in the absence of definitive documentation and/or review criteria to support hospital stay. KEY RESPONSIBILITIES: Facilitates optimal reimbursement through certification and denial processes. Facilitates throughput of patients admitted

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

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