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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....
Medical Management RN (Care Manager)
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
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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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...


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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