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Search Results: 3966 Jobs

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RN Case Manager

Eastern Aleutian Tribes

Sand Point, Alaska

Hospital Care Management Director

Intermountain Healthcare

Ogden, Utah

Director of Care Management

Madison Miles on behalf of Speare Memorial Hospital

Plymouth, New Hampshire

Clinical NCLEX Case Manager (Student Resources) - San Juan, PR

Optum

San Juan,

NEW!

Social Worker- OPC PACT

Veterans Affairs, Veterans Health Administration

Phoenix, Arizona

NEW!

Registered Nurse (RN) -Safe Patient Handling Coordinator

Veterans Affairs, Veterans Health Administration

Danville, Illinois

NEW!

Coder II, Inpatient - Hospital Coding (full-time)

WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!

Senior Social Worker - Behavioral Health

Veterans Affairs, Veterans Health Administration

Lebanon, Pennsylvania

NEW!

Nurse Manager - Primary Care

Veterans Affairs, Veterans Health Administration

Murfreesboro, Tennessee

NEW!

Nurse Practitioner - Primary Care

Veterans Affairs, Veterans Health Administration

Houston, Texas

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Registered Nurse Case Manager

AdventHealth

Hinsdale, Illinois

NEW!

Registered Nurse

Veterans Affairs, Veterans Health Administration

Augusta, Maine

NEW!

Registered Nurse - Assistant Nurse Manager (Emergency Department)

Veterans Affairs, Veterans Health Administration

San Antonio, Texas

NEW!

Senior Social Worker- Addiction Recovery Treatment Services/ Substance Use Disorder

Veterans Affairs, Veterans Health Administration

Mather AFB, California

NEW!

Senior Patient Access Services Representative

Banner Health

Casa Grande, Arizona

NEW!

Sterile Processing Tech II

BJC HealthCare

Saint Louis, Missouri

NEW!

Social Worker

Veterans Affairs, Veterans Health Administration

Northport, New York

NEW!

Senior Social Worker - Intensive Community Mental Health Recovery (ICMHR)

Veterans Affairs, Veterans Health Administration

Fort Worth, Texas

NEW!

Home Health RN Case Manager

St. Luke's Health System

Meridian, Idaho

NEW!

Registered Nurse- Home Health

Veterans Affairs, Veterans Health Administration

Iowa City, Iowa

NEW!

Registered Nurse (Certified Diabetes Educator)

Veterans Affairs, Veterans Health Administration

Albuquerque, New Mexico

NEW!

Primary Care CBOC Nurse Manager/Tifton

Veterans Affairs, Veterans Health Administration

Tifton, Georgia

NEW!

Physician Assistant - Neurosurgery

Veterans Affairs, Veterans Health Administration

Palo Alto, California

NEW!

Registered Nurse RN Medical Surgical

Banner Health

Glendale, Arizona

NEW!

Registered Nurse

Veterans Affairs, Veterans Health Administration

Fort Smith, Arkansas

NEW!

Appeals Nurse RN - Community Health Choice

The Appeals Nurse RN will assist the Appeals Manager and the Medical Director in the review of medical records submitted for appeals by providers due to adverse determination. Utilize Milliman Care Guidelines and Medical Affairs departmental policies for medical necessity and level of care determination. Utilize 3M Coding and reimbursement guideline for DRG assignment. Provides written response of the outcome of the appeals finding to the appealing provider. Assists in the ongoing development and maintenance of a database for tracking, trending and reporting appeals cases. Qualifications Registered Nurse, current Texas License One year of experience utilizing evidence based criteria in medical reviews in Utilization Management or Appeals required.

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

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