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Case management nurse, case management RN, case manager nurse, case manager RN, CM RN, healthcare, health care, registered nurse, RN, R.N., nurse, nursing.
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Posted job title: Registered Nurse – Case Management- Case Manager - Travel - (CM RN) Registered Nurse – Case Management- Case Manager - Travel - (CM RN.
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Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.
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AMN Healthcare Nursing is seeking a travel nurse RN Case Management for a travel nursing job in CLACKAMAS, Oregon. Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. 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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Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Psychiatric nurse, psych nurse, psychiatric RN, psych RN, psych LPN, mental health RN, LPN, RN, R.N., registered nurse, healthcare, health care, hospital, medical, patient care, mental health care, psychiatric care.
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QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RNValid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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Masters in Social Work Care Management discharge planning experience Knowledge of state and federal guidelines pertinent to care management Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement Knowledge of state and federal guidelines pertinent to Care Management.
$24.661 - $36.991Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Posted job title: Registered Nurse – Psychiatric - Travel - (Psych RN) AMN Healthcare Nursing is seeking a travel nurse RN Psychiatric for a travel nursing job in NATICK, Massachusetts.
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AMN Healthcare Nursing is seeking a travel nurse RN Psychiatric for a travel nursing job in ALABASTER, Alabama. Registered Nurse – Psychiatric - Travel - (Psych RN.
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These activities include but are not limited to: the timely submission of claims, monthly billing activities for Medicare, Medicaid, Managed Care, and Insurance Billing, Follow Up, Denial Management, Revenue Integrity, Coding, and timely processing of refunds and write offs.
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Key Words: Registered Nurse, RN, Licensed Practice Nurse, LPN, Licensed Vocational Nurse, LVN, Long Term care, Medical-Surgical, Travel Nurse, Contract Nurse, Agency Nurse, Agency RN, Travel RN, Contract, Nursing, RN Med-Surg, Travel Nursing, SNF, Nursing Home.
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Key Words: Registered Nurse, RN, Wound Care, Travel Nurse, Contract Nurse, Agency Nurse, Agency RN, RN-MS, RN- Wound Care, Travel RN, Contract, Nursing, RN Wound Care, Travel Nursing.
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travel nurse care management managed jobs Title: case manager Company: Banner Health in Mililani-town, Hawaii
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