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Case Manager, Case Mgmt
Location HENDRICK MEDICAL CENTER Department C/M Case Management Schedule Full Time Shift Day Shift Hours 8a-5p, M-F Job Details Position Summary: The...
Utilization Reviewer
Five years of sound medical/surgical, home health care, pediatric and/or behavioral health experience preferred....
Utilization Review
Five years of sound medical/surgical, home health care, pediatric and/or behavioral health experience preferred....

Telephonic UM Pre-Service Nurse (RN) - Work at home, Texas r...

Humana - 4,171 reviews - Texas
Have a background in utilization management including knowledge of MCG or Interqual guidelines and experience with large health plans....

Health Plan Trainer

Banner Health - 1,335 reviews - Phoenix, AZ
About Banner Health. Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services...

Utilization Review Coordinator

Wellmont Health System Corporate - 7 reviews - Kingsport, TN 37660
Uses time effectively, plans and prioritizes daily workload while maintaining flexibility to meet health system need....

Clinical Claims Review RN / Coder

UnitedHealth Group - 11,748 reviews - Las Vegas, NV 89105
MCG). Knowledge of managed care delivery system concepts such as HMO/PPO. You'll help write the next chapter in the history of health care....

Field Support Specialist

Provation Medical - 4 reviews - Minneapolis, MN 55401 (North Loop area)
Application, data, and systems integration. Healthcare information systems, peripherals, and cabling. Working with ProVation MD and/or MCG software....

Pre-Authorization Nurse - Doral, FL

Humana - 4,171 reviews - Miami, FL
Experience working with MCG or Interqual guidelines. Enters and maintains pertinent clinical information in various medical management systems....

Denial & Appeals Coordinator - HSS – Miami, FL

Navigant - 198 reviews - Miami, FL
Health System Solutions is an Equal Employment Opportunity / Affirmative Action employer. Certified Professional Health Management....

Associate Professor

Augusta University - 93 reviews - Georgia
The residency program is also supported by teaching affiliations with the local not-for-profit University Health Care System along with other regional health...

Configuration Specialist

UnitedHealth Group - 11,748 reviews - San Antonio, TX 78208 (Government Hill Alliance area)
Experience in TruCare or MCG. Become a change agent with departmental leaders regarding configuration and system functionality....

Clinical Trainer

EXL - 1,156 reviews - Tampa, FL
Ensure staff receive effective training on systems used in the care management programs, including, but not limited to medical management system, phone systems,...
Utilization Review Nurse
Medasource - 10 reviews - Indianapolis, IN
$30 - $33 an hour
Our client is a not-for-profit, academic medical health center and is Indiana's most comprehensive healthcare system, comprising more than 20 hospitals and...
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Manager, Utilization Management
Johns Hopkins Health System employs more than 20,000 people annually. Johns Hopkins Health System and its affiliates are drug-free workplace employers....