Managed Care Nurse jobs

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Managed Care - Registered Nurse
Visiting Nurses Association of Greater Philadelphia 2 reviews - Philadelphia, PA
BSN with a minimum of one-year's experience in the provision of relevant direct patient care or RN with a minimum of one-year's experience in medical/surgical...
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Sponsored by Visiting Nurses Association of Greater Philadelphia - 22 days ago
Intake Nurse
Access Nursing Services 5 reviews - New York, NY
NY1, Intake Nurse, Intake RN, Intake Registered Nurse, UAS, Universal Assessment System, Field Nurse, Field RN, Field Registered Nurse, MLTC, Managed Long Term...
Sponsored by Access Nursing Services - 21 days ago

RN Care Manager - Case Management

CoreSource 22 reviews - Lake Forest, IL - +1 location
Minimum three years clinical and/or managed care experience medical/surgical, community health nursing, home health care nursing;...

HEDIS Abstractor

Synectics 15 reviews - Los Angeles, CA
Degree in health care sciences, nursing, ir health information systems; The nurse abstractor will participate in quality improvement meetings and operational...

LPN Case Manager (Insurance Coordinator)

Shepherd of the Valley 15 reviews - Niles, OH
Interpret managed care policies and procedures as required. Continuously follow-up on the implementation of managed care resident care activities and evaluation...

Revenue Integrity Nurse Auditor

Providence Health & Services 152 reviews - Portland, OR
Knowledge of health care reimbursement and managed care issues. Current Registered Nurse License. Knowledge of health care management in terms of financial and...

Licensed Clinical Care Manager (RN, LCSW, LPC)

Aetna 460 reviews - Allentown, PA - +1 location
Managed Care experience preferred. Registered Nurse (RN). 3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home...

On Site RN Case Manager - Providence, RI

UnitedHealth Group 1,921 reviews - Providence, RI - +4 locations
Managed care experience. Coordination of post discharge care with primary care physician. We're going beyond basic care to health programs integrated across the...

Case Manager High Risk-West

CareSource 37 reviews - Montgomery, OH - +1 location
§ Three (3) years or more Medicaid and/or Medicare managed care experience is preferred. § Develop and implement care plan in collaboration with the member, the...

Registered Nurse (RN) - Case Manager

Aetna 460 reviews - Atlanta, GA 30328 - +11 locations
Managed care experience a plus. Case Management and/or Managed Care experience a plus. Nursing/Registered Nurse (RN) is required....

Clinical Nurse II

University of South Alabama 39 reviews - Alabama
Care Management, LLC. Collaborates with physicians, nurse practitioners, and pharmacists regarding payer medical necessity payment policies;...

Case Manager RN

Winston-Salem, Winston-Salem, NC - Winston-Salem, NC 27106
Communicates with external Case Managers for Managed Care & commercial customers. Ensures documentation supports level of care, MDS & RUG....
Clinical Quality Nurse
Advance Health 32 reviews - Chantilly, VA
It was our belief that we could bring better health care to managed care members by engaging them where and when they were most comfortable, using the best...
Sponsored by Advance Health - 2 days ago
Clinical Reimbursement Coordinator/MDS RN/Lead RNAC Maison A...
Extendicare Health Services, Inc. 159 reviews - Stow, OH
Manage communication with managed care, VA and other payor sources. Review resident medical records, care plans and charting to ensure proper documentation...
Sponsored by Extendicare|ProStep|VCPI - 1 day ago
RN Case Manager
Pacific Medical Centers 8 reviews - Seattle, WA
Coordinates care for Pacific Medical Centers’ Managed Care patient in order to assure cost effective, appropriate utilization of health care resource....
Sponsored by Pacific Medical Centers - 6 days ago

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Company with Managed Care Nurse jobs
2 reviews
The Visiting Nurse Association of Greater Philadelphia (VNA) is the region’s largest and oldest non-profit home care and hospice provider.