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Search Results: 349 Jobs

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Clinical Accreditation Reviewer

URAC

Nationwide

Director- Regional Care Management (East/South)

Carle Health

Urbana,

Registered Nurse RN Case Manager

Banner Health

Tucson, Arizona

Nurse Manager

Kaiser Permanente

Redwood City, California

Director Case Management

South Texas Health System

EDINBURG, Texas

NEW!

Case Manager,Social Worker MSW - Patient Case Management

WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!

Social Work Care Manager

AdventHealth

Shawnee Mission, Kansas

NEW!

Social Worker (HUD/VASH Senior Case Manager)

Veterans Affairs, Veterans Health Administration

Redding, California, California

NEW!

Director-Case Management

St. Francis-Emory Healthcare

Columbus, Georgia

NEW!

Registered Nurse RN Home Health Case Manager Buncombe or Henderson

AdventHealth

Fletcher, North Carolina

NEW!

Case Manager-DUH PRN

Duke University Health System

Durham, North Carolina

NEW!

Social Worker MSW - Case Management - PRN

CHRISTUS Health

Corpus Christi, Texas

NEW!

Case Management Coordinator

Kindred Hospitals

Louisville, Kentucky

NEW!

Social Work Care Manager Part Time Weekends

AdventHealth

Winter Park, Florida

NEW!

RN Case Manager Home Care Tavares / Leesburg Area

AdventHealth

Tavares, Florida

NEW!

Care Manager RN 1 QA

Baylor Scott & White Health

Dallas, Texas

NEW!

Manager Case Management

Centura Health / CommonSpirit Health

Longmont, Colorado

NEW!

RN Case Manager

Kindred Hospitals

San Diego, California

NEW!

Care Manager Clinical Denials

Harris Health System

Houston, Texas

NEW!

Registered Nurse Case Manager (RN) - Diabetes Disparity Program

University of Maryland Medical System

Bel Air, Maryland

NEW!

RN Access Case Manager, Utilization Management, Full time, Evenings

PIH Health

Downey, California

Social Work Care Manager Part Time Days

AdventHealth

Deland, Florida

Case Manager II (RN) - M-F 8a-4:30p

ChristianaCare Health System

Newark, Delaware

Telephonic RN Case Manager - Kidney Resource Services - Remote

Optum

Downers Grove, Illinois

Registered Nurse RN - Case Manager - PRN

Northeast Georgia Health System

Gainesville, Georgia

RN - Clinical Access Specialist

Job SummaryPerforms and ensures adherence to state, federal and third party payer certification requirements for initial, concurrent and retrospective medical record review for medical necessity and level of care determination.Job DutiesPerforms and ensures adherence to state, federal and third party payer certification requirements for initial, concurrent and retrospective medical record review for medical necessity and level of care determination.Identifies and notifies appropriate staff regarding discrepancy issues with third party payer health insurance coverage and lack of coverage.Maintains a working knowledge of third party payer health plans, working knowledge of nationally recognized review criteria and its application and state and

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