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Search Results: 435 Jobs

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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

Premera Blue Cross

Mountlake Terrace, Washington

The Tatz Group

Dallas, Texas

Registered Nurse (Mental Health Case Manager-Outpatient)

Veterans Affairs, Veterans Health Administration

Anderson, South Carolina

NEW!

LVN Clinic Case Manager South Austin Bilingual Preferred

Optum

Austin, Texas

NEW!

Part Time Maternity Management RN Case Manager - Remote

Optum

Milwaukee, Wisconsin

NEW!

Hospice Case Management Social Worker

St. Luke's Health System

Meridian, Idaho, Idaho

NEW!

Case Manager Social Worker, Per Diem

PIH Health

Los Angeles, California

NEW!

Social Worker or RN Case Manager - St Petersburg, FL

Kindred Hospitals

Saint Petersburg, Florida

NEW!

Case Manager - Registered Nurse

Veterans Affairs, Veterans Health Administration

Paragould, Arkansas

NEW!

Care Manager RN

Baylor Scott & White Health

TEMPLE, Texas

NEW!

Nurse Care Manager - Irving, TX

Optum

Irving, Texas

NEW!

RN Heath Care Manager

Optum

Irving, Texas

NEW!

RN Remote Case Manager - Oregon

Optum

Portland, Oregon

NEW!

RN Case Manager

Centura Health

Denver, Colorado

NEW!

Social Worker Care Manager - Behavioral Health Interdisciplinary Program

Veterans Affairs, Veterans Health Administration

Augusta, Georgia

NEW!

Social Worker or RN Case Manager - Dallas, TX

Kindred Hospitals

Dallas, Texas

NEW!

Case Manager RN

MultiCare Health System

Olympia, Washington

NEW!

RN Case Manager

Centura Health

Denver, Colorado

NEW!

Registered Nurse-Primary Care Case Manager

Veterans Affairs, Veterans Health Administration

Washington, District of Columbia

NEW!

RN Case Manager - Baltimore, MD

Optum

Baltimore, Maryland

NEW!

Registered Nurse - Home and Community Based Services Case Manager

Veterans Affairs, Veterans Health Administration

Saint Cloud, Minnesota

NEW!

Nurse Care Manager - Irving, TX

Optum

Irving, Texas

NEW!

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 DutiesIdentifies 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 federal regulations and mandates.Reviews cases, using standard parameters, in order to perform precertification requirements as indicated in third party payer contracts.Reviews all admission requests for app

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

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