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Utilization Management RN - Nationwide Posting
UnitedHealth Group - 4,049 reviews - Shelton, CT 06484
MCG; You can improve the health of others and help heal the health care system. As an Inpatient Care Manager you will be responsible for ensuring proper...
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Utilization Management Nurse
CLOVER HEALTH - San Francisco, CA
Clover Health is driving down costs and producing improved health outcomes with a unique health insurance plan....
Sponsored by HEALTHeCAREERS Network
Case Manager - Onsite at Mountain's Edge - Las Vegas, NV
Make the health system work better for everyone. Discover it here at UnitedHealth Group and help us reinvent the health system....
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RN/LPN Prior Auth - Utilization Management

HealthCare Partners - 133 reviews - Las Vegas, NV 89119
Utilize CMS, MCG (Milliman Care Guidelines), and Health Plan protocols to determine medical necessity for prior authorization requests....

Care Strategy Consultant

Hearst Business Media - 107 reviews - Remote
Such people may include MCG staff, clients, vendors, MCG Corporate staff, and visitors. 3-5 years’ experience with MCG products and services....

Software Development Engineer in Test

Hearst Business Media - 107 reviews - Seattle, WA  +1 location
MCG Health is based out of Seattle, Washington. MCG is used by more than 2000 clients in the US and major health systems throughout the world....

Software Developer Engineer

Hearst Business Media - 107 reviews - Seattle, WA
MCG Health is based out of Seattle, Washington. MCG is used by more than 2000 clients in the US and major health systems throughout the world....

Clinical Case Manager Emergency Department FT Days

Florida Hospital DeLand - Adventist Health System - DeLand, FL 32721
We are fully accredited by the Joint Commission on Accreditation of Health Care Organizations; Acts as an advocate for an individual’s health care needs post ED...

Care Manager (Social Worker MSW or Registered Nurse RN)

MISSION INTERNAL MEDICAL GROUP, INC. - Orange, CA 92868
Understand the various health care delivery systems and payer plan contracts; Excellent computer and IT system knowledge....

RN, Registered Nurse, Case Manager - Case Management

Christus Health - 152 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 Specialist - Physician Advisory Services

Accretive Health - 132 reviews - Remote
Accretive Health’s customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and...

Case Manager - Onsite at Mountain's Edge - Las Vegas, NV

UnitedHealth Group - 4,049 reviews - Las Vegas, NV
Make the health system work better for everyone. Discover it here at UnitedHealth Group and help us reinvent the health system....

Case Manager

Phoenix Children's Hospital - 99 reviews - Phoenix, AZ 85002 (Central City area)
Working knowledge of DRG payment methodology and ICD-9/10 coding system. Establishes estimated Length of Stay via MCG criteria and tools, Completes an initial...
Nurse-Utilization Review
3-5 years of experience in Utilization Review applying screening guidelines (InterQual or MCG Guidelines) or other related Case Management experience (i.e....
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Utilization Review Specialist - Physician Advisory Services
Accretive Health’s customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and...
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