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Search Results: 423 Jobs

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Clinical Case Manager Registered Nurse / RN

Ardent Health System

Albuquerque , New Mexico

NEW!

Patient Resource Coordinator - Inpatient Case Management

Cambridge Health Alliance

Everett, Massachusetts

Nurse Case Manager Opportunity

HPC

St. Louis, Missouri

Director of Case Management

Spartanburg Regional Healthcare System

Spartanburg, South Carolina

Staff Nurses

The Tatz Group

Dallas, Texas

Case Manager RN - (Smyrna, Tennessee, United States)

Premise Health

Smyrna, Tennessee

NEW!

RN Case Management Specialist

St. Luke's Health System

Meridian, Idaho

NEW!

Inpatient Care Management RN - Remote

Optum

Minneapolis, Minnesota

NEW!

Social Worker - Care Management

Nemours

Wilmington, Delaware

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Case Manager-DUH Float Thursday - Sunday 10/hr shift

Duke University Health System

Durham, North Carolina

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CWA - ASST CASE MANAGEMENT

UNM Hospital

Albuquerque, New Mexico

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Case Manager - RN - PT - Depaul Hospital - Bridgeton, MO

Optum

Bridgeton, Missouri

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CASE MANAGER SOCIAL WORK I

UNM Hospital

Albuquerque, New Mexico

NEW!

Social Worker Care Manager I - Nights 7PM-7AM

Harris Health System

Houston, Texas

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RN Inpatient Case Manager

St. Luke's Health System

Meridian, Idaho

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RN Case Manager WellMed

Optum

Saint Petersburg, Florida

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ICPR - Youth Behavioral Health Case Manager

BJC HealthCare

Saint Louis, Missouri

NEW!

RN Case Manager - Optum at Home - Remote in EST or CST

Optum

Atlanta, Georgia

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RN Case Manager

BJC HealthCare

Saint Louis, Missouri

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Clinical Case Manager - Diagnostic Cardiology

Penn State Health

Hershey, Pennsylvania

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Social Worker (HUD/VASH Senior Case Manager)

Veterans Affairs, Veterans Health Administration

Stockton, California

NEW!

Optimization RN Care Manager - Care Coordination HSH

Penn State Health

Camp HIll, Pennsylvania

NEW!

Social Worker (OPC Suicide Prevention Case Management)

Veterans Affairs, Veterans Health Administration

Phoenix, Arizona

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Population Health Care Manager

Duke University Health System

Durham, North Carolina

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RN Case Manager PHM Telecommute West Texas

Optum

Abilene, Texas

NEW!

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

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