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Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role. Experience with Case Management is a plus. Active, unrestricted Utilization Management Certification (CPHM.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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In coordination with the PCs, we specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions.
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Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. + Minimum four (4) years of experience in hospital patient care delivery, OR completion of Masters degree in case management program in lieu of minimum years of experience.
$81.02 - $96.24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Services include legal counseling, case management/advocacy, language training, citizenship programs, employment services, and community organizing. Maintain clients’ electronic and paper case files in good working order and update regularly in our Lawlogix and case management system.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. Pay Information $2,755 to $2,933 per week About The Position Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Stanford , CA.
$2,933.33 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning.
$70.4 an hourFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Knowledge of managed care principles and practices with an emphasis in Grievance and Appeals and/or Claims or Utilization Management. The Grievance and Appeals Quality Assurance Program Manager is responsible for performing retrospective and concurrent internal quality review of grievances and appeals to ensure they are categorized and processed in accordance with state and federal regulatory requirements and SCFHP policies and procedures as set forth for each line of business.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Baylor Scott & White Medical Center - Sunnyvale is seeking a Case Manager, RN to assess, plan, implement and evaluate the needs of patients for discharge planning and utilization review.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The candidate will be required to work closely with clinical study managers, clinical trial assistants (CTAs) and data management for the conduct and execution of the study, as well as with biostatisticians to review and interpret results of clinical studies, contribute to clinical study reports, or help the development of clinical publications.
$179,400 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Learn Athena Case Management (ACM) and review leads, confirming or refuting via CCTV footage. - Review incident reports for similar activity, confirming via CCTV, and document in relevant BOX folders for further collaboration with the Fraud Manager.
$30 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Masters degree in case management preferred. Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Note: Must have Case Management, Utilization Review, Home Health or Public HealthRegistered Nurse experience. Preferred Licenses/Certification: Public Health Nurse, Case Management, or Home Health.
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This paralegal will participate in all aspects of our Immigration practice, including assisting in the management of client relationships, case review, analysis, preparation, and filing non-immigrant petitions.
$30 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Provide comprehensive, in-home case management services to participants enrolled in Housing First Programs, guiding them through the intake process, conducting regular assessments, and scheduling bi-weekly appointments to track progress and address barriers.
$32.5 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Clinical RN Manager maintains accountabilities for all functions of the WelbeHealth clinic and clinic team, and ensures policies and workflows are clearly understood and followed by all clinic and RN Case Manager team members.
ExpandApply NowActive JobUpdated 1 month ago
review case management jobs in San Jose, CA
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