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Prior Authoriziation Nurse (Licensed Practical Nurse - LPN)...
Aetna - 2,342 reviews - San Diego, CA 92102
Experience and knowledge required in clinical guidelines, systems and tools i.e., MCG, Interqual, Broad-based medical and surgical background Behavioral Health...
Telephonic RN Complex Case Manager - $1,500 sign-on bonus -...
Discover it here at UnitedHealth Group and help us reinvent the health system. Assesses and triages immediate health concerns....

Clinical Evaluation Manager, UM MLTC, Manhattan

VISITING NURSE SERVICE OF NEW YORK - 184 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....

Clinical Educator

Medica - 73 reviews - Minnetonka, MN
Prefer health insurance or hospital/care system background experience. General working knowledge of how various health care services link together (the health...

Case Management Reviewer Specialist

Alta Hospitals System, LLC - 9 reviews - Boulevard, CA  +1 location
The Utilization Review Specialist will provide quality assurance and quality control related to patient treatment by medical staff (such as nurses and...

Weekend Case Manager

Hendrick Health System - 38 reviews - Abilene, TX 79601
Location HENDRICK MEDICAL CENTER Department C/M Case Management Schedule Full Time Shift Varied Shifts Hours 40 hours Job Details Job Summary The

Senior Product Manager

McG Health, Llc. - Seattle, WA
MCG Health, part of the Hearst Health network, helps healthcare organizations implement informed care strategies that proactively and efficiently move patients...

Electrical Helper - MCG Traveling

Faith Technologies Inc. - 85 reviews - United States
Install and eventually layout conduit systems, various lighting systems, and basic control systems and feeders....

Supervisor Utilization Management

Lancaster General Health - 46 reviews - Lancaster, PA
Experience in the application of InterQual or MCG. Participates in the building of systems and processes to most effectively manage healthcare consumer needs...

Supervisor, Care Management ($3,000 SIGN ON BONUS!)

Heritage Healthcare (SJHH) - 13 reviews - Brea, CA 92821
Joseph Health locations. Knowledge of MCG Recovery Guidelines. Years of previous experience in an ambulatory and or acute care setting....

Prior Authorization Nurse (LPN/LVN) (VA MCD)

Aetna - 2,342 reviews - Richmond, VA 23236
Experience and knowledge required in clinical guidelines, systems and tools i.e., MCG, Interqual, Broad-based medical and surgical background Behavioral Health...

Utilization Management Coordinator (Multiple Positions)

University Hospital - 575 reviews - Newark, NJ
Must attain Certification in MCG Guidelines within 18 months of hire as a Utilization Management Coordinator and maintain certification with MCG....
Registered Nurse, Senior Case Management Leader
Revenue Cycle Operations - New Orleans, LA
Possesses a deep knowledge of medical necessity criteria including MCG and/or InterQual, both preferred. Including but not limited to, paid time off, health,...
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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....
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