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Utilization Review Nurse
Virginia Mason - 101 reviews - Seattle, WA 98127
Interqual or MCG knowledge/use preferred. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health...
Clinical Evaluation Manager, UM MLTC
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
RN, Care Transition Nurse
Christus Health - 206 reviews - San Antonio, TX 78229
Familiarity with MIDAS and Meditech systems preferred. Collaborates with other members of the health care team to ensure the above according to the mission of...

Case Manager

Phoenix Children's Hospital - 142 reviews - Phoenix, AZ 85002 (Central City area)
Establishes estimated Length of Stay via MCG criteria and tools,. Leadership that set the standard for pediatric health care today and innovations of the future...

Physician Editor

McG Health, Llc. - Remote
Familiarity with health services research. Evidence search – expert at use of tools and systems for identification of new clinical literature and other evidence...

COMMUNITY BASED SOCIAL WORK CARE COORDINATOR

Cook County Health & Hospitals System - 16 reviews - Chicago, IL
$30.96 an hour
Health and Hospital Systems. Applying for employment with the Cook County Health & Hospitals System,. COOK COUNTY HEALTH &. Community Health Worker (CHW)....

UM Clinical Consultant

Aetna - 2,273 reviews - New York, NY 10016 (Gramercy area)
Experience with Milliman, MCG, NYS DME Guidelines preferred. Position requires proficiency with computer skills which includes navigating multiple systems and...

Clinical Educator

Medica - 70 reviews - Minnetonka, MN
Prefer health insurance or hospital/care system background experience. General working knowledge of how various health care services link together (the health...

Case Manager

Kingman Regional Medical Center - 82 reviews - Kingman, AZ
Establishes communication system for days off. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families,...

VIRTUAL UTILIZATION REVIEW

Bon Secours Health System - 465 reviews - Richmond, VA
The VUM supports an outcomes-oriented, patient care delivery system, which places the patient at the center of all activities....

Concurrent Review Nurse I - LVN

Central California Alliance for Health - 13 reviews - Scotts Valley, CA  +1 location
Ability to evaluate medical records and other health care data; Some knowledge of the concepts and guidelines related to prepaid health care;...

Supervisor Utilization Management

Lancaster General Health - 43 reviews - Lancaster, PA
Experience in the application of InterQual or MCG. Participates in the building of systems and processes to most effectively manage healthcare consumer needs...

Utilization Management Nurse (Remote)

Clover Health - 2 reviews - Jersey City, NJ
You have basic knowledge of health care contracts, benefit eligibility requirements, hospital structure and payment systems preferred....
Easily apply
Registered Nurse, Senior Case Management Leader
Revenue Cycle Operations - New Orleans, LA
Possesses a deep knowledge of medical necessity criteria including MCG and/or InterQual, both preferred. Including but not limited to, paid time off, health,...
Easily apply
In Patient Case Manager ED
Experience with MCG, MIDAS+, Cerner, and Power Point preferred. Ability to enter and retrieve data from relevant computer systems required....

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