Concurrent Review Case Management jobs

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Case Manager, Exchange Services
ABCBS 13 reviews - Little Rock, AR
Experience in case management, home health, critical care, medical/surgical, social work, discharge planning or concurrent review preferred....
Sponsored by Arkansas Blue Cross and Blue Shield - 30+ days ago
Case Manager/Utilization Review RN- PRN Jasper
Piedmont Healthcare 112 reviews - Jasper, GA
Perform admission, concurrent, and retrospective reviews on all patients. Follow Medicare guidelines regarding utilization review (Condition Code 44, 2MN Rule,...
Sponsored by Piedmont Healthcare - 30+ days ago

RN / LPN - Concurrent Review Nurse II (Palm Beach County; Re...

Molina Healthcare 129 reviews - West Palm Beach, FL
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Case Management Certification (CCM), Utilization Management Certification (CPHM) or...

Nurse Reviewer - Evening shift

Banner Health 379 reviews - Phoenix, AZ
Accurately and thoroughly completes documentation required for claims payment of services approved through concurrent review and case management....

Case Management Assistant

Seton Healthcare Family 23 reviews - Austin, TX
The Case Management Assistant provides various services supporting case management process. Collaborates with Case Management staff to provide specific clinical...

Utilization Review RN (Sheridan WY)

Sheridan Memorial Hospital 4 reviews - Wyoming
Conducts observation reviews daily. Conducts concurrent review per department policy (every three days for Medicare unless the patient condition changes), and...


Houston Methodist 404 reviews - Houston, TX 77094
Maintains individual competencies around critical Case Management functions including; Completes full assessment based on the case management high-risk...

UR Nurse Reviewer

GENEX 69 reviews - Philadelphia, PA
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

Case Management Coord II

Blue Cross Blue Shield 1,488 reviews - Richardson, TX - +2 locations
This position is responsible for performing concurrent review in accordance with accepted department criteria; Experience in Disease Management....

Orange CONTRACT Concurrent Review Nurse (RN or LVN) – Manage...

CareNational Healthcare Services, LLC - Orange, CA
Around 2-3 years’ experience in utilization management, concurrent review, or retrospective review. Perform Utilization Review pre-authorization, concurrent and...
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Care Coordinator UM/CM I

Blue Cross Blue Shield 1,488 reviews - Fort Worth, TX - +4 locations
This position is responsible for performing concurrent review in accordance with approved departmental guidelines;...

Referral Managemen Emergency Care Management - Fair Oaks Med...

Kaiser Permanente 2,202 reviews - Fairfax, VA
Conducts concurrent review of ER patients & make follow-up appointments as indicated; Functions as a member of the Emergency Case Management (ECM) Team to...
Director of Case Management ($5k sign on : $10k relo)
Englewood Community Hospital - Englewood - Englewood, FL
Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource Management, Concurrent...
Sponsored by HCA Inc - 30+ days ago
Florida Medical Center 863 reviews - Fort Lauderdale, FL
MANAGER, CASE MANAGEMENT Full Time/Days. Case Management/Home Health. 3-5 years clinical, case management & discharge planning experience in an acute care...
Sponsored by Tenet Healthcare - 13 days ago
Utilization Management Review Nurse
Chinese Community Health Plan - San Francisco, CA
Catastrophic case management as assigned. Utilization Management Nurse Reviewer. Performs concurrent review to assure appropriateness of admission, continued...
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Sponsored by Chinese Community Health Plan - 12 days ago

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Company with Concurrent Review Case Management jobs
13 reviews
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