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Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.
$59,000 - $97,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Life Bridge 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: Life Bridge Health & Fitness, Express Care and Home Care of Maryland.
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Clinical criteria, Utilization review, Prior authorization, Utilization management, Concurrent review, Interqual, RN, LCSW, Managed Care, Clinical review, Milliman, MCG, prior authorizations, DME.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
$42.563Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and psychiatric experience with the adult, child and adolescent and TBI and Rehab populations.
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Subacute RN, Subacute Care Registered Nurse, Subacute Registered Nurse, Skilled Nursing Facility RN, Skilled Nursing Facility Nurse, SNF RN, Subacute Care RN, Registered Nurse, RN, RN Days, Day Shift RN, jobs, careers, California.
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Registered Health Information Administrator (RHIA) OR Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT) OR Certified Professional Coder (CPC) OR Certified Professional Coder-Hospital (CPC-H) OR Registered Nurse (RN) with education and experiential training in Medical Coding, Utilization Review, Denial Management, Case Management or related functions.
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Experience working in a Psychiatric Hospital Inpatient and/or Outpatient setting preferred) Previous Experience within the Integrated Collaborative Care Model Approach Experience with chronic condition management, particularly Diabetes, HIV, Heart Disease Pharmacy, Psyckes, E-Paces, LOCADTR, InterQual, Guiding Principles, HCS (UAS) MAPP, Medical Background & Bilingual preferred Previous Quality Management liaison experience with hospitals and other large volume providers to address cost.
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Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA. This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.
$206.61 - $223.65Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Wellness Program and Resources including: A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs Telemedicine Program Type 2 Diabetes Management Program via Virta Health A complete Joint and Spine Program with concierge services via Nimble Orthopedics.
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Position also referred to as: Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, Registered Nurse (RN) Case Manager, Registered Nurse/Case Manager, Hospice RN Case Manager, RN Case Manager, RNCM, RN Care Manager, CHPNs, Certified Hospice and Palliative Nurses, Certified Hospice and Palliative Licensed Nurses, Hospice Nurse (RN), Registered Nurse Case Manager Hospice.
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Registered Nurses (RN) or Licensed Practical Nurse (LPN) Private Duty Nursing. Accurate Home Care has an opening for a Private Duty Nurse (RN/LPN) to provide adult and pediatric nursing care in the patient’s own home.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensure. Ciena Healthcare is Michigan's largest provider of skilled nursing and rehabilitation care services.
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registered nurse life care utilization management jobs Title: registered nurse case Company: Sunrise Hospital
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