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Clinical Accreditation Reviewer
URAC

Nationwide

Carle Health Logo
Director- Regional Care Management (East/South)
Carle Health

Urbana,

Registered Nurse RN Case Manager
Banner Health

Tucson, Arizona

1776 Senior Care Logo
Case Manager - Private Duty Home Care
1776 Senior Care

Glen Ellyn, Illinois

Featured!
Nurse Manager
Kaiser Permanente

Redwood City, California

AdventHealth Logo
RN Care Manager-PT Weekend Days
AdventHealth

Rome, Georgia

NEW!
WakeMed Health & Hospitals Logo
Case Manager, Nurse - Patient Case Management
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
Veterans Affairs, Veterans Health Administration Logo
Registered Nurse Case Manager
Veterans Affairs, Veterans Health Administration

Tuskegee, Alabama, Alabama

NEW!
BJC HealthCare Logo
RN Case Manager Hospice Missouri
BJC HealthCare

Saint Louis, Missouri

NEW!
St. Luke's Health System Logo
RN Inpatient Case Manager
St. Luke's Health System

Twin Falls, Idaho

NEW!
Penn State Health Logo
RN Case Manager - Patient Experience
Penn State Health

Lancaster, Pennsylvania

NEW!
Kindred Hospitals Logo
Case Manager
Kindred Hospitals

Indianapolis, Indiana

NEW!
PIH Health Logo
RN Access Case Manager, Utilization Management, Full time, Evenings
PIH Health

Downey, California

NEW!
University of Maryland Medical System Logo
CASE MANAGER II PRN
University of Maryland Medical System

Baltimore, Maryland

NEW!
AdventHealth Logo
RN Care Manager PRN
AdventHealth

Palm Coast, Florida

NEW!
Optum Logo
Telephonic Case Manager RN - Remote
Optum

Wausau, Wisconsin

NEW!
Optum Logo
Telephonic RN Case Manager - Kidney Resource Services - Remote
Optum

Downers Grove, Illinois

NEW!
University of Maryland Medical System Logo
Case Manager II
University of Maryland Medical System

Baltimore, Maryland

NEW!
ChristianaCare Health System Logo
Case Manager RN - M-F, 8a - 4:30p
ChristianaCare Health System

Elkton, Maryland

NEW!
Northeast Georgia Health System Logo
Registered Nurse RN - Case Manager - PRN
Northeast Georgia Health System

Gainesville, Georgia

NEW!
Optum Logo
Telephonic Case Manager RN Optum Arizona - Remote
Optum

Phoenix, Arizona

NEW!
AdventHealth Logo
Social Work Care Manager Part Time Days
AdventHealth

Deland, Florida

NEW!
AdventHealth Logo
RN Discharge Care Manager
AdventHealth

Tavares, Florida

NEW!
ChristianaCare Health System Logo
Per Visit Field Nurse Case Manager | Home Healthcare
ChristianaCare Health System

Wilmington, Delaware

NEW!
ChristianaCare Health System Logo
Case Manager II (RN) - M-F 8a-4:30p
ChristianaCare Health System

Newark, Delaware

NEW!
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Utilization Review Coordinator Case Management Part Time
DescriptionRegistered Nurse uses approved screening criteria (Milliman®/Interqual®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in management of inpatient observation patients. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third party payors. Follows UM policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.


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