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Search Results: 242 Jobs
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Prime Healthcare Logo
Director, Case Management - Utilization Management
Prime Healthcare

Inglewood, California

Case Manager
Monadnock Family Services

Keene, New Hampshire

BJC HealthCare Logo
RN Case Manager Hospice South Region
BJC HealthCare

Saint Louis, Missouri

NEW!
Atlantic Health System Logo
Inpatient Care Manager (RN)- Per-Diem, Days, 8am-4pm, Newton/Hackettstown Medical Centers
Atlantic Health System

Newton, New Jersey

NEW!
University of Maryland Medical System Logo
Nurse Case Manager PRN
University of Maryland Medical System

Bel Air, Maryland

NEW!
Geisinger Logo
RN - Regional Director - Care Management
Geisinger

Wilkes-Barre, Pennsylvania

NEW!
Atlantic Health System Logo
Inpatient Care Manager (RN)- Per-Diem, Days, 8am-5pm, Chilton Medical Center
Atlantic Health System

Pompton Plains, New Jersey

NEW!
Beebe Healthcare Logo
RN / REGISTERED NURSE - HOME CARE CASE MANAGER (PART TIME)
Beebe Healthcare

Millsboro, Delaware

NEW!
Vanderbilt Health Logo
Perinatal Nurse Case Manager
Vanderbilt Health

Nashville, Tennessee

NEW!
CHRISTUS Health Logo
Care Manager II, Case Management - Full time
CHRISTUS Health

Beaumont, Texas

NEW!
AdventHealth Logo
Case Management Asst
AdventHealth

Littleton, Colorado

NEW!
AdventHealth Logo
Registered Nurse Care Manager Altamonte Springs
AdventHealth

Altamonte Springs, Florida

NEW!
BJC HealthCare Logo
Home Care RN Case Manager North Region
BJC HealthCare

Saint Louis, Missouri

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

La Plata, Maryland

NEW!
AdventHealth Logo
RN Registered Nurse Care Manager Medical Observation Unit
AdventHealth

Hinsdale, Illinois

NEW!
AdventHealth Logo
Registered Nurse Case Manager
AdventHealth

Eustis, Florida

NEW!
WMCHealth Logo
Case Manager (RN)
WMCHealth

Suffern, New York

NEW!
BJC HealthCare Logo
Patient Care Manager PACU
BJC HealthCare

Saint Louis, Missouri

NEW!
Veterans Affairs, Veterans Health Administration Logo
Social Worker (Post 9/11 M2VA Military 2 VA Case Manager)
Veterans Affairs, Veterans Health Administration

Laredo, Texas

NEW!
AdventHealth Logo
RN Care Manager PRN
AdventHealth

Deland, Florida

NEW!
Penn State Health Logo
Care Coordinator - BH Case Management
Penn State Health

Harrisburg, Pennsylvania

NEW!
Veterans Affairs, Veterans Health Administration Logo
Registered Nurse - Mental Health Intensive Case Management
Veterans Affairs, Veterans Health Administration

Syracuse, New York

NEW!
WakeMed Health & Hospitals Logo
Case Manager/Social Worker, MSW - Patient Case Management
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
AdventHealth Logo
Social Work Care Manager
AdventHealth

Deland, Florida

NEW!
AdventHealth Logo
RN Registered Nurse Care Manager Surgical Unit
AdventHealth

Hinsdale, Illinois

NEW!
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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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