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Acentra is currently looking for a Utilization Management Appeals Nurse – LPN/RN to join our growing team. Our Utilization Management Appeals Nurse – LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations.
$24 - $35 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
Part-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Candidates must have Utilization Review and Discharge Planning experience. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently. Additional Information Please note: As a condition of employment, if not already completed, all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.
Part-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Molina's Behavioral Health function provides leadership and guidance for utilization management and case management and quality programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.
Starting at $161,914.25 - $315,732.79 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Nurse Case Manager provides utilization management, care coordination and discharge planning for an assigned patient case load. Previous clinical nursing experience and/or case management experience.
Part-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or health care informatics is required. Maintains summarized information for Quality Systems related to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS.
$79,809.6 - $101,774.4 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Support psychological and emotional well-being of families including assessment, crisis intervention, group, individual, couples and family therapy, clinical case management and consultation, foster home support services, placement stabilization, pre and post adoption support, special needs adoption clinical services, information and referral to community providers, client and staff training and supports.
$66ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The RN Case Manager is responsible for identifying said population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and patient self-referral.
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Coordinates automated litigation support projects through utilization of technology, including, but not limited to, database management software (web or in-house) and Case Notebook.
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Works with all facets of the Case Management continuum, i.e., social support, alternate resources, community referrals, discharge planning, Nursing Home/Skilled Nursing Placement and resource utilization.
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Supervises: RN/Case Management; Social Worker/Case Management; Case Management/Referral Coordinator (JC: 244802, 242002) Five (5) years of job-related case management experience to include supervisory/management experience.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Keywords: Case Management; Case Manager; Registered Nurse; RN; BSN; Connecticut; utilization management. At Saint Francis Hospital our RN Case Manager are responsible for coordinating patient care, assessing needs, and developing care plans.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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What qualifications you will need: RN with current state licensure; BSN preferredThree years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experienceCertification in case management or utilization review preferredInterQual experience preferred HCA Florida Raulerson Hospital is a 100-bed acute care facility in Okeechobee County.
Part-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Works collaboratively with the CDI team to facilitate documentation with physician, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate querying tools to capture needed documentation.
$119,900 - $155,100 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago
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