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Three to Five (5) years experience in Case Management/Utilization Review (as either LCADC, LCPC, LCSW, LMHC, LMFT, RN, Case Manager, or Utilization Review. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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Client in OR seeking RN - Discharge Planning and Utilization Review (RN) to work 8 hour days. TravelNurseSource is working with Core Medical Group to find a qualified Case Manager RN in Medford, Oregon, 97504.
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Manages Case Management operations with Conifer teams to align and optimize case management processes related to utilization review services. Develop strategies to manage and prevent disputes and Utilization Review processes with Group Directors of Case Management (DCMs) and Revenue Cycle Directors.
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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 1 month ago - UpvoteDownvoteShare Job
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The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. BSN Degree from an accredited nursing program or proven success as Registered Nurse Utilization Review I role.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualifications Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management.
$36.42 - $60.33Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). Utilization Review Specialist/Behavioral Health Substance Abuse.
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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator). Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies.
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Job Title: Utilization Review - Post Acute Care. Our PAC Nurse is a telephonic role responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTAC), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities.
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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.
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The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned.
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CCM, Certified Case Manager, MBA, MHA, BSN, Nurse Director Utilization Review, Interim Nurse, Travel Nurse. The Interim Case Management Nurse Consultant will monitor hospital metrics such as: Length of Stay, Readmission Rates, Utilization and more.
$180,000 - $195,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Posterity Group LLC is currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care to family members of Active-Duty heroes in the Wounded, Ill, and Injured Warriors (WII)under the Psychological Health Transition to Care Initiative in the Case Management/Utilization Management Divisionat Naval Hospital 29 Palms.
$55.18 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Experienced Utilization Review Nurse (UM RN) Department: UW MEDICAL CENTER - UTILIZATION MANAGEMENT. 3 years of work experience in utilization management. Active licensure to practice as a Registered Nurse in Washington State.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem , at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated 3 days ago
nurse manager utilization review rn jobs Title: travel nurse manager Company: Ahs Nursestat in Mckinney, Texas
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