Utilization Management Specialist jobs

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RN-Utilization Review Specialist
Gulf Coast Regional Medical Center - Panama City, FL
Works case management unbilled accounts. Minimum of 3 years Utilization Review experience required....
Sponsored by HCA Inc - 28 days ago
Medical Group Care Manager (Patient Care Management)
Ambulatory 5 reviews - Reno, NV
Prior Case Management experience preferred. National Certification Case Management (CCM) preferred. Serves as the liaison between the primary care team, patient...
Sponsored by Renown Health - 30+ days ago
Utilization Review Specialist
White Sands Treatment Center - Miami, FL
Effective time management. Our Utilization Review Specialist is responsible for establishing and maintaining positive and effective communication with managed...
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Sponsored by White Sands Treatment Center - 29 days ago

Clinical Documentation Specialist (Case Mgmt)

St. Mary's Hospital Decatur, IL - Decatur, IL
Mary's Hospital in Decatur, Illinois is seeking a Clinical Documentation Specialist for Utilization Review/Case Management....

Clinical Documentation Improvement Specialist

RAM Healthcare - Vero Beach, FL
Understands Utilization and Quality Management Standards, the Prospective Payment System and State and Federal Regulations....
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Compliance Specialist/Clinical Review

SMA Behavioral Health Services, Inc. - Daytona Beach, FL
Skill in time and organizational management; Improves professional knowledge and skill base relevant to utilization management by attending seminars, trainings,...

Clinical Documentation Specialist

Peninsula Regional Medical Center 44 reviews - Salisbury, MD
Minimum of (3) years of broad clinical experience, care coordination, case management, discharge planning, utilization review or acute care coding experience....

Clinical Documentation Specialist

West Virginia University Healthcare 8 reviews - Martinsburg, WV
Experience in CDI, case management, utilization review, process improvement, or quality roles. Certified Clinical Documentation Specialist (CCDS) within 2 years...

HIM - Clinical Documentation Specialist

Baltimore Washington Medical Center 43 reviews - Glen Burnie, MD
Basic computer skills in word processing and spreadsheet utilization required. The Clinical Documentation Specialist should have a minimum of one of the...

Medical Management Specialist I - Medicaid - Nashville

Anthem, Inc. 564 reviews - Nashville, TN
Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

Clinical Specialist

CommunityCare, Inc. - Tulsa, OK
Responsible for conducting all utilization management activities (i.e. Initial and concurrent clinical reviews for all lines of business) assess, certify and...
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Clinical Doumentation Specialist

Carson Tahoe Regional Healthcare 6 reviews - Carson City, NV
Utilization management/quality management experience preferred. Current case management certification preferred....

Utilization Management Nurse Consultant

lancesoft - Morrisville, NC 27560 - +2 locations
My name is Nakro, and I am Recruiting Specialist at Lance. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization...
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RN Quality Improvement Performance Specialist
StoneGate Care Team - Irving, TX
Quality Improvement Performance Specialist. Homecare Coding Specialist – Diagnosis/preferred. Certificate for OASIS Specialist – Clinical/preferred....
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Sponsored by StoneGate Care Team - 17 days ago
Utilization Review Case Manager
CorVel 23 reviews - Cincinnati, OH
CDMS, Certified Disability Management Specialist. CMC, Case Management Certified. Assess resource utilization and cost management, the diagnosis, treatment,...
Sponsored by CorVel - 30+ days ago

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