Concurrent Review Case Management jobs

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Utilization Review Nurse (RN)
Execu | Search - 55 reviews - New York, NY
Works with facility case management department or specifically assigned staff to develop appropriate discharge plans;...
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Clinical Review Coordinator (5 years Clinical Care exp. req'...
Producer-Writers Guild of America Pension Plan & Health Fund - Burbank, CA
Certification in Case Management desired. At least one year of experience in a utilization review environment performing pre-certification and/or case...
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Clinical Documentation Spec
The Clinical Documentation Specialist is responsible for concurrent clinical documentation review with an emphasis on completeness and accuracy of provider...
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Clinical Case Manager, RN, BSN / MSN, Medical Group, Days (N...

Penn State Hershey Medical Center - 41 reviews - Hershey, PA  +1 location
Experience as a case manager in discharge planning or insurance issues preferred. Mobilizes resources and manages the systems to respond to concurrent and...

Remote Telephonic Utilization Nurse Consultant

Alvarez & Marsal - 13 reviews - Atlanta, NY  +2 locations
Perform utilization management, utilization review or concurrent review (inpatient care management). 10 or more years of Utilization Review experience in...

Utilization Review Clinician

Beacon Health Options - 177 reviews - Woburn, MA
Performs telephonic case review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance treatment...

UM Clinical Consultant

Aetna - 1,539 reviews - Detroit, MI
Utilization Management RN position with a focus on concurrent review in a DRG environment. Managed care/utilization review experience preferred....

Permanent Supportive Housing Specialist

Henderson Behavioral Health - Lauderdale Lakes, FL
Adult Mental Health Population, Case Management:. The candidate must have a minimum of 2 years case management expereience services working with persons with...
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Case Manager

Aetna - 1,539 reviews - San Antonio, TX 78218 (Camelot area)  +1 location
1-3 years discharge planning/case management. Nursing/Certified Case Manager (CCM) is desired. Click here to review the benefits associated with this position....

Registered Nurse (RN) Case Manager

Medix - 48 reviews - New York, NY
The Clinical Case Manager provides comprehensive case management interventions to mixed panel of cases. Performs prospective, concurrent and retrospective...

Case Manager I

Memorial Hermann - 696 reviews - Houston, TX 77030 (Medical area)  +1 location
Current working knowledge of discharge planning, utilization management, case management, performance. Standards within budgetary specifications including time...

Nurse Line/UM Nurse Consultant

Aetna - 1,539 reviews - New Albany, OH 43054
Medical Management/Medical Management - Disease management. Managed Care/Utilization management experience....

Utilization Review - LPN

eQHealth Solutions - Tampa, FL
Prior experience in utilization management or case management preferably in the managed care environment. Medical record review to determine medical necessity...
Case Manager-82002
Tuality Healthcare - Hillsboro, OR
Provides concurrent reviews and retrospective reviews to insurance carriers for authorization of services. Completion of course(s) in Case Management preferred....
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