Concurrent Review Case Management jobs

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Inpatient Case Manager
AP Staffing - Massachusetts
$38 - $40 an hour
Consult and coordinate with health care team for intermittent case reviews. Perform medical necessity and concurrent reviews on inpatient stays to determine...
Regional MDS Nurse
ER Senior Management, LLC - Dallas-Fort Worth, TX
Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG. Prior experience in multi-facility management strongly preferred....
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Clinical Case Manager - Full time - Child & Adolescent Servi...
Acadia Healthcare Facilities - Philadelphia, PA
The Clinical Case Manager provides comprehensive case management for acutely ill psychiatric and substance abusing patients....

Utilization Review/Management Analyst

Sharp Healthcare - 124 reviews - San Diego, CA
Certified Case Manager (CCM). Computer, data management and analysis skills. The Utilization Resource Case Manager functions as the primary liaison between the...

Social Worker - Case Management

Health Plan of San Joaquin - 19 reviews - Modesto, CA
Assists RN case managers and concurrent review nurses with case management, and discharge planning and other member transition needs....

Utilization Review Specialist

Alta Hospitals System, LLC - 3 reviews - Boulevard, CA
Under the direction of the Director of Case Management, the Utilization Review Specialist is responsible for completing medical necessity reviews....

Utilization Review Specialist

Alta Hospitals System LLC. - 3 reviews - California
Under the direction of the Director of Case Management, the Utilization Review Specialist is responsible for completing medical necessity reviews....


Trinity Health - 105 reviews - Chicago, IL
The position collaborates with social workers and case managers for discharge planning and utilization review activities....

Medical Case manager

BlueCross BlueShield of Tennessee - 3,760 reviews - Chattanooga, TN
Prefer two (2) years experience in Utilization Management, Case Management or Managed Care. Related activities to Case Management include care coordination,...

Associate-Case Management

Eli Lilly - 707 reviews - Indianapolis, IN
Adverse Event Case Management. Typical case management processing activities include (but not limited to):. Route case to safety physician for medical review...

Child Welfare Case Aide

Catholic Charities West Michigan - 13 reviews - Grand Rapids, MI
Files paperwork and conducts concurrent audit reviews of client case records. Transports client case paperwork to court....

Utilization Management Nurse - Case Management

Swedish Medical Center - Seattle, WA - 24 reviews - Seattle, WA 98194 (Downtown area)
Support the Utilization Management process by sending reviews, entering requests for utilization review, authorization of stay concurrent and post billing...

Case Manager

Colusa Medical Center - Colusa, CA
Medical Case Management:. This includes case management and utilization management. Using discretion and independent judgment, the Case Manager is responsible...
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Utilization Review/Case Management Nurse
Jai Medical Systems Managed Care Organization, Inc. - Hunt Valley, MD
Case Management experience preferred, but not required. Managed Care Organization, based in Hunt Valley, is now seeking full-time, licensed registered nurses...
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Concurrent Review Nurse I
Corporate - 30 reviews - Las Vegas, NV
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

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