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Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management. The Concurrent Review Nurse (CRN) is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.
$68,100 - $110,600 a yearPart-timeRemoteExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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The Case Management Supervisor provides input on the program operations, program development, staff training, performance management, and personnel activities. JOB SUMMARY: The Case Management Supervisor’s goal is to improve the well-being of clients by providing direct clinical and case management services including the coordination of community resources.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN.
$2,193 a weekFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies.
$2,443 a weekFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Monitor the EDP Waiver renewal process accurately and timely: o Review the renewal process for beneficiaries after the Social Services Director follows up with Case Managers monthly to verify beneficiaries’ expiration dates.
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Preferred)Required Licenses and CertificationsRegistered Nurse (RN) license from the District of Columbia Upon Hire (Required)Specialty Certification- CCM (Preferred)Required Skills/Knowledge Knowledge of best practices as it relates to admissions processes, utilization review, discharge planning, case management, social work, care coordination and denial prevention and recovery methodologies.
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In addition to performing functions of Document Management Technician, performs moderately complex litigation support tasks, including, for example, detailed review and analysis of case materials in a broad range of subject matters, such as financial records, health care materials, and other litigation files; detailed indexing of case files; drafting procedures for accomplishing litigation support assignments; document acquisition related tasks; and conducting database searches.
$150ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Health management services may include: population health management, practice facilitation, medical/utilization management, case/disease/maternity management and/or quality improvement activities.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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In this position you will participate in the development and daily execution of case management, disease management, population health management, utilization review and other operations of the health plan.
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Perform moderately complex litigation support tasks, including, for example, detailed review and analysis of case materials in a broad range of subject matters, such as financial records, health care materials, and other litigation files.
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In addition to performing functions of Document Management Technician, as described below, perform moderately complex litigation support tasks, including, for example, detailed review and analysis of case materials in a broad range of subject matters, such as financial records, health care materials, and other litigation files.
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May assist with case management activities on an as-needed basis. Requires hands-on familiarity with the Government's office and network environment, including but not limited to, data processing environments, including office automation networks, PC-based databases and other applications, internet and server-based databases and other applications, such as Oracle, Relativity or other document review platform, Trial Director, etc or similar applications/databases.
$150Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Sometimes serve as "team leader" for larger group of Document Management Technicians and clerical support staff. Leidos is seeking a Document Management Analyst to work on-sight Washington, DC. You will work in a fast-paced and diverse environment and will have a management team that encourages your career development and growth.
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Strong document review skill set (reviewing claims, patient records, etc. Detailed indexing of case files. Responsible for reviewing claim-related evidence, database management, and accurately documenting the steps per guidelines.
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review care case management jobs in Arlington, VA
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