Concurrent Review Case Management jobs

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Utilization Review Manager - LCSW, LCP, RN
Centene 164 reviews - Houston, TX
3 years previous case management or utilization review experience in a mental health environment. Ensure compliance with all performance measures in regards to...
Sponsored by Personified - 15 days ago
Registered Nurse (RN) - Case Management - Anchorage, AK - Re...
Providence Health & Services 139 reviews - Anchorage, AK
Perform integrated concurrent review to identify quality and utilization issues. Providence is calling a RN Case Manager to the Case Management and Social...
Sponsored by Providence Health & Services - 23 days ago
CASE MANAGER- HAMPTON
Optima Health 9 reviews - Hampton, VA
Assigned cases may include components of medical, behavioral health, disease management, complex case management, and/or concurrent (Utilization Review) review....
Sponsored by Optima Health - 6 days ago

Clinical Documentation Improvement Specialist 20 hrs Case Ma...

Lahey Health 5 reviews - Beverly, MA
Reviews physician documentation on a concurrent basis on selected DRG?s to ensure that severity of illness, intensity of services and risk of mortality are...
Lahey Clinic - 2 days ago - save job - email - more...

Case Management Coordinator

Aetna 397 reviews - Phoenix, AZ 85044 (Ahwatukee Foothills area) - +1 location
Case management and discharge planning experience highly preferred. Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years....
1 day ago - save job - email - more...

Case Management Coord II

Blue Cross Blue Shield 1,321 reviews - Chicago, IL
This position is responsible for performing concurrent review in accordance with accepted department criteria; Experience in Disease Management....
HCSC - 4 days ago - save job - email - more...

CASE MANAGER - PER DIEM - DAYS - AHMC-1604

ALVARADO HOSPITAL MEDICAL CENTER 4 reviews - San Diego, CA
At least one year experience in case management, discharge planning or nursing management, preferred. Responsible for the quality and resource management of all...
Alvarado Hospital - 3 days ago - save job - email - more...

Case Management Liaison

Stanford Health Care 89 reviews - Palo Alto, CA
Reviews daily admission data and checks inpatient insurance benefits, authorized days and concurrent review requirements....
4 days ago - save job - email - more...

Nurse Case Manager

PacificSource Health Plans - Springfield, OR
$69,000 - $75,000 a year
(The Commission for Case Management Certification). Develop, implement, and coordinate case management action plan for achieving specified patient goals as...
1 day ago - save job - email - more...

Care Coordinator RN

Renown Regional Medical Center - Reno, NV
Case management begins with the. Case Management, Post-Acute experience and/or UR/QA experience preferred....
Renown Health - 1 day ago - save job - email - more...

Social Worker, Case Management

Castle Medical Center 6 reviews - United States
Demonstrates proficiency in determining necessity for inpatient care and concurrent review. Assists in collaboration, development, implementation, revision and...
3 days ago - save job - email - more...

Case Manager

Blue Cross Blue Shield of Rhode Island 12 reviews - Providence, RI
Understanding of aspects of the medical review function, including pre-authorization, concurrent review and discharge planning....
3 days ago - save job - email - more...

Case Manager

Mesa Hills Speciality Hospital - El Paso, TX
Conducts concurrent medical record reviews using specific indicators and criteria as approved by Medical Staff, JCAHO, CMS, and other State agencies....
Easily apply
3 days ago - save job - email - more...
RN Care Coordinator - Houston
IntegraNet Physician Resource - Houston, TX
Preferred knowledge in case management principles, procedures and practices. Monitor retrospective review requests based on established review guidelines....
Easily apply
Sponsored by IntegraNet Physician Resource - 30+ days ago
Director, Clinical Documentation Improvement (CDI)
North Shore-LIJ Health System 97 reviews - Bay Shore, NY
Previous experience in chart review, required. Ensures chart review within 48-72 hours of admission to meet criteria....
Sponsored by North Shore-LIJ Health System - 7 days ago

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Company with Concurrent Review Case Management jobs
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