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Keywords: Exchange Plan Utilization Management Review Nurse, Location: USA

Page: 2

Hospice Registered Nurse RN Full Time

of the clinical component of patient/family plan of care, including exchange of information, review of problems, assessing..., as dictated by the plan of care and patient needs. Participates in quality improvement, utilization review, and infection control...

Location: Pelham, AL
Posted Date: 26 Apr 2025
Salary: $31 - 41 per hour

Hospice Registered Nurse RN Part Time Weekends

Position Details Position Overview: The Hopsice Registered Nurse is responsible for pain management, symptom control in the... interdisciplinary team in the development, review and revision of the clinical component of patient/family plan of care, including...

Location: Montgomery, AL
Posted Date: 13 Apr 2025
Salary: $31 - 39 per hour

Administrative Medical Coordinator

agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible... compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries...

Posted Date: 26 Jun 2025

Administrative Medical Coordinator

agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible... compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries...

Posted Date: 20 Jun 2025

Medical Case Manager II

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...

Company: CorVel
Location: Charlotte, NC
Posted Date: 05 Jul 2025
Salary: $65436 - 98982 per year

Client Policy Manager

requests, monthly review of Max Units, review of Health Plan rules, etc. Primary driver of the Periodic Update analysis..., etc. Experience in claims adjudication or utilization review working for a managed care or healthcare insurance company. Familiarity...

Company: Cotiviti
Location: USA
Posted Date: 04 Jul 2025
Salary: $75000 - 105000 per year

Medical Case Manager I

, such as utilization review or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...

Company: CorVel
Location: Huntsville, AL
Posted Date: 04 Jul 2025
Salary: $62306 - 93123 per year

Medical Case Manager I - Part Time

, other healthcare providers, attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...

Company: CorVel
Location: Savannah, GA
Posted Date: 03 Jul 2025
Salary: $62306 - 93123 per year

House Supervisor RN

with patients, physicians, social workers, patient education, utilization review, and other personnel as appropriate. Assists... such as medical history, physical exams, plan of care, etc. Works with staff in unusual cases to develop a prioritized...

Posted Date: 03 Jul 2025

Medical Case Manager I

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...

Company: CorVel
Location: Lake Mary, FL
Posted Date: 03 Jul 2025
Salary: $62306 - 93123 per year

Safety, Quality and Patient Experience (SQPE) Specialist - Quality

to ensure compliance with all standards and favorable performance on safety, quality, utilization, and experience metrics.... Act as a consultant in educating and evaluating clinical and support department staff regarding quality management...

Company: Cleveland Clinic
Location: USA
Posted Date: 02 Jul 2025

Transitions of Care Coordinator- RN - Flexible/remote

Conduct concurrent and retrospective utilization review for inpatient, observation or SNF services Recognizes, identifies..., and implements appropriate opportunities to help meet Utilization goals Knowledge of managed care, quality, and risk management...

Company: Fallon Health
Location: Worcester, MA
Posted Date: 01 Jul 2025

Administrative Medical Coordinator - Stony Brook Children's Service, UFPC

agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible... compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries...

Posted Date: 28 Jun 2025

RN Case Manager

years of recent experience in utilization review, quality or care management Knowledge of acute care and accreditation... Management-Cleveland Clinic Union Hospital Job Code T99267 Shift Days Schedule 7:00am-3:30pm/7:30am-4:00pm Job Summary...

Company: Cleveland Clinic
Location: USA
Posted Date: 27 Jun 2025

Medical Policy Manager

requests, monthly review of Max Units, review of Health Plan rules, etc. Primary driver of the Periodic Update analysis..., etc. Experience in claims adjudication or utilization review working for a managed care or healthcare insurance company. Familiarity...

Company: Cotiviti
Location: USA
Posted Date: 26 Jun 2025
Salary: $75000 - 105000 per year

Administrative Medical Coordinator

agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible... compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries...

Posted Date: 26 Jun 2025

RN Supervisor Home Care

continuity of high-quality care to home health patients assigned to the team's area in accordance with physician prescribed plan..., implementation, and updates to the individualized patient plan of care, as appropriate. Manages and documents phone calls...

Company: LHC Group
Location: Cincinnati, OH
Posted Date: 25 Jun 2025
Salary: $80000 - 85000 per year

Integrated Case Manager

utilization of resources in compliance with external review criteria and payer expectation. Facilitating exchange of pertinent.... Ability to maintain knowledge regarding standards of care, case management /utilization principles and approaches, Social...

Company: Renown Health
Location: Reno, NV
Posted Date: 25 Jun 2025

Medical Case Manager II - RN

, such as utilization review or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...

Company: CorVel
Location: Seattle, WA
Posted Date: 25 Jun 2025
Salary: $65436 - 98982 per year

Medical Case Manager I (RN)

, attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review or managed care... nurse to fill a Medical Case Manager position in the Overland Park, KS area. *Must live in or around Overland Park, KS area...

Company: CorVel
Location: Overland Park, KS
Posted Date: 21 Jun 2025
Salary: $62306 - 93123 per year