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Utilization Management Coordinator (LPN or RN)

MSO Great Lakes, Inc. - Chicago, IL 60630 (Jefferson Park area)
DME, Home Health, Skilled Nursing. Understands Health Plan policies and procedures regarding pre-certification, benefits by health plan and preferred facilities...
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Medical Review Nurse

Performant Financial Corporation - 15 reviews - San Angelo, TX
Experience in Home Health and Skilled Nursing Facility medical reviews. Minimum of three years Home Health and Skilled Nursing experience providing direct care...

Clinical Evaluation Manager, UM MLTC - Bronx (UAS Assessment...

VISITING NURSE SERVICE OF NEW YORK - 185 reviews - Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....

Revenue Recovery RN

UCHealth - 297 reviews - Fort Collins, CO
As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients...

Registered Nurse Clinical Case Manager Emergency Department...

FH Memorial Medical Center - 455 reviews - Daytona Beach, FL 32115  +1 location
Acts as an advocate for an individual’s health care needs post ED discharge. Identify patient’s barriers to self-care and the additional services needed at...

Claims Denial Management Lead

UnitedHealth Group - 5,733 reviews - San Francisco, CA
Knowledge of Dignity systems including but not limited to EDM, Midas, Cerner, eFR, Artiva, and various host systems....

Remote Based Utilization Management Nurse

AllyAlign Health - Louisville, KY
Experience with MCG authorization criteria preferred. Excellent computer skills and ability to learn new systems required....
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UTILIZATION MANAGEMENT NURSE - UM - Current CA - RN/LVN Requ...

agilon health - Anaheim, CA
Agilon health Corporate Overview:. Agilon health, through its value-based delivery systems, has a strong track record operating in multiple capitated markets,...
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LCSW

Catholic Charities of the Archdiocese of Newark - 1,244 reviews - Jersey City, NJ
Mount Carmel Guild Behavioral Health System, a CARF accredited division of Catholic Charities of the Archdiocese of Newark, is a leading provider of mental...
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Inpatient Case Manager

Prospect Medical Systems (Onsite) - Orange, CA
Millennium / MCG Guidelines:. Updates clinical information in the electronic medical management record system with treatment plan, objectives, results and next...
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Case Manager - Sharp Extended Care
These offices provide the centralized integrated system support services to the operating entities within the system....
In Patient Case Manager ED
Experience with MCG, MIDAS+, Cerner, and Power Point preferred. Ability to enter and retrieve data from relevant computer systems required....
Revenue Recovery RN
UCHealth - 297 reviews - Fort Collins, CO
As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients...

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