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Director of Case Management

POPLAR BLUFF REGIONAL

POPLAR BLUFF, Missouri

Director of Case Management & Social Services

Houston Methodist Clear Lake Hospital

Nassau Bay, Texas

Featured!

Utilization Management Specialist

UF Health Psychiatric Hospital - Gainesville

Gainesville, Florida

Manager-Case Management-In Patient

Samaritan Health Services

Corvallis, Oregon

Nurse Case Manager

MEMIC

Albany , New York

Case Manager - Case Management

UF Health Shands Hospital - Gainesville

Gainesville, Florida

Clinical Social Worker, LCSW

UF Health Shands Hospital - Gainesville

Gainesville, Florida

Clinical Social Worker, MSW

UF Health Shands Hospital - Gainesville

Gainesville, Florida

Care Manager (RN) - Physician Organization - Population Health Management

Weill Cornell Medicine

New York, New York

RN Nurse Auditor Global Risk Contracts Regulatory Compliance Coordinator

CareMount Medical

Poughkeepsie, Town of, New York

NEW!

Certified Surgical Technologist (CST)

CareRev

Cape Coral, Florida

NEW!

Market Health Services Manager

Optum

Nashville, Tennessee

NEW!

Licensed Professional Mental Health Counselor

Veterans Affairs, Veterans Health Administration

Mesa, Arizona

NEW!

Veterans Affairs, Veterans Health Administration

Amarillo, Texas

NEW!

Advanced Practice Registered Nurse (APRN) for Quality, Safety, & Value (QSV)

Veterans Affairs, Veterans Health Administration

Minneapolis, Minnesota

NEW!

Social Worker HUD VASH

Veterans Affairs, Veterans Health Administration

Leavenworth County, Kansas

NEW!

Nurse Practitioner Home Based Primary Care

Veterans Affairs, Veterans Health Administration

Aberdeen, South Dakota

NEW!

Registered Nurse - Quality Management Coordinator

Veterans Affairs, Veterans Health Administration

Ann Arbor, Michigan

NEW!

Clinic Nurse LPN - Endocrinology (Per Diem)

Geisinger

Wilkes-Barre, Pennsylvania

NEW!

Registered Nurse (PCU)

Veterans Affairs, Veterans Health Administration

Salem, Virginia

NEW!

Care Management Coordinator, PIH Health Good Samaritan Hospital, Los Angeles, Full Time

PIH Health

Los Angeles, California

NEW!

Registered Nurse (RN) - (Georgetown, Kentucky, United States)

Premise Health

Georgetown, Kentucky

NEW!

RN Coordinator - Surgery

Geisinger

Danville, Pennsylvania

NEW!

Certified Surgical Technologist (CST)

CareRev

Largo, Florida

NEW!

Registered Nurse RN, Circulator

CareRev

Clearwater, Florida

NEW!

Clinical Coding Investigator - Geisinger Health Plan (work from home United States)

Job SummaryResponsible for the management of clinical reviews to assist in the prevention and detection of fraud, waste and abuse in all the Health Plan lines of business. Plan, organize, and execute medical reviews or audits that identify, evaluate and measure potential healthcare fraud and abuse.Job DutiesUtilizes an expert knowledge of CPT, ICD-9, HCPCS coding and the Health Plan clinical and reimbursement policies to review and analyze claims and corresponding medical records for clinical medical record reviews.Prepares concise clinical review summaries to support findings of potential fraud, waste and abuse Conducts in-depth research and makes recommendations to clarify coding and billing issues identified in fraud, waste and abuse cases.

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

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