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Clinical Evaluation Manager, UM MLTC
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
RN, Care Transition Nurse
Christus Health - 207 reviews - San Antonio, TX 78229
Familiarity with MIDAS and Meditech systems preferred. Collaborates with other members of the health care team to ensure the above according to the mission of...
RN Case Manager
Christus Health - 207 reviews - San Antonio, TX 78229
Familiarity with MIDAS and Meditech systems preferred. Collaborates with other members of the health care team to ensure the above according to the mission of...

LCSW - Program Manager - Adult Residential

Catholic Charities of the Archdiocese of Newark - 1,200 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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PrePay Coding Specialist

Florida Blue - 245 reviews - Jacksonville, FL
Contract Management System. MCG, LCD, Authorizations, Covered Benefits and Appropriateness of Service Setting)....

Case Manager, Case Mgmt

Hendrick Health System - 36 reviews - Abilene, TX 79601
Location HENDRICK MEDICAL CENTER Department C/M Case Management Schedule Full Time Shift Day Shift Hours 8a-5p Job Details Job Summary The

Utilization Review Registered Nurse

Capital Health - 95 reviews - Pennington, NJ
Possesses familiarity with MCG guidelines. Maintains appropriate documentation in the Utilization software system on each patient to include specific...

Department Chair of Neurology

Augusta University - 43 reviews - Georgia
MCG and its teaching hospitals provide postgraduate education to nearly 500 residents in 44 different programs....
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Registered Nurse Medical Management Services

Banner Health - 908 reviews - Phoenix, AZ
About Banner Health. Manages health Plan consumer/beneficiaries across the health care continuum to achieve optimal clinical, financial, operational, and...

Revenue Cycle: Appeals Registered Nurse

Margin Recovery International LLC. - New Orleans, LA
Paid dental and health. Previous utilization of InterQual and/or MCG guidelines. Documents clinical rationale for appeal or not appealable determination in...
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PHYSICIAN ADVISOR

Bon Secours Health System - 465 reviews - Greenville, SC  +1 location
Hold and maintain an unrestricted medical license in the state of BSHSI local system. Meet the requirements (and become a member) of the Local System Hospital...

RN - Case Manager - FT - Req 1699

Valley View Medical Center - 19 reviews - Arizona
Stays current with requirements of CMS Inpatient Prospective Payment Systems (IPPS),. Third party payer criteria and regulation, including InterQual and MCG....

RN, Care Transition Nurse

Christus Health - 207 reviews - San Antonio, TX 78229
Familiarity with MIDAS and Meditech systems preferred. Collaborates with other members of the health care team to ensure the above according to the mission of...
Utilization Review Nurse
Virginia Mason - 101 reviews - Seattle, WA 98127
Interqual or MCG knowledge/use preferred. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health...
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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