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Nurse-Utilization Review
3-5 years of experience in Utilization Review applying screening guidelines (InterQual or MCG Guidelines) or other related Case Management experience (i.e....
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Medical Management RN (Care Manager)
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
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Senior Network Security Engineer
MCG - Midwest Consulting Group - 38 reviews - Irving, TX
$65 - $70 an hour
Pro-actively monitor, measure and report on the health and scalability of the network infrastructure. Will form and follow a standards based architecture and...
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VIRTUAL UTILIZATION REVIEW CASE MANAGER

Bon Secours Health System - 335 reviews - Richmond, VA
The VUM supports an outcomes-oriented, patient care delivery system, which places the patient at the center of all activities....

Medical Informaticist

Hearst Business Media - 109 reviews - Seattle, WA
MCG Health is based out of Seattle, Washington. MCG is used by more than 2000 clients in the US and major health systems throughout the world....

Medical UM Clinician-Work from Home

Health Integrated - 50 reviews - Florida
Contributes to UM program goals and objectives in containing health care costs and maintaining a high quality medical delivery system through the program...

Prior Authorization Nurse

Acclivity Healthcare - 133 reviews - Tucson, AZ 85719 (North University area)
$36 an hour
Be part of a team that is dedicated to advancing health and wellness through education, research and patient care!...
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Health Plan Case Manager

Martin's Point Health Care - 16 reviews - Maine
Coordinates referrals to delegated Health System care managers, as appropriate. Population Health and Disease Management....

Case Manager

MemorialCare - Fountain Valley, CA
Health plan medical policy / clinical coverage guidelines. Provide Hospital staff with contracted providers per health plan contracts....

Manager of Medicaid Utilization Review

VIVA Health - 7 reviews - Birmingham, AL 35203
Knowledge and understanding of medical payer system (Provider or Insurer). Proficient in use of personal computer and related software, phone, fax, copier, and...

Clinical Training Specialist

Health Integrated - 50 reviews - Tampa, FL
Minimum five years managed care clinical experienceMinimum three years health care related staff education and training experience, preferably teaching...

VIRTUAL UTILIZATION CRM

Bon Secours Health System - 335 reviews - Norfolk, VA
Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues\....

Temp Nurse Case Manager

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
Assess members’ physical, behavioral health and psychosocial needs and barriers. Santa Clara Family Health Plan reserves the right to revise this job...

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