• Manager of Rehab Services

    HCA Healthcare (San Antonio, TX)
    …**Introduction** Do you want to join an organization that invests in you as a Manager of Rehab Services ? At Methodist Hospital, you come first. HCA Healthcare ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Manager of Rehab Services like you to… more
    HCA Healthcare (08/26/25)
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  • Utilization Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …methodology in order to provide the full continuum of health care services and the best quality patient centered care. **Duties/Responsibilities:** + Reviews ... management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not...of the severity of an array illnesses, intensity of service , and care coordination needs + Ability to identify… more
    Beth Israel Lahey Health (08/15/25)
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  • Behavioral Health Care Manager Remote, must…

    Magellan Health Services (San Diego, CA)
    …team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and ... and participates in special quality improvement projects. + Monitors inpatient and/or outpatient level of care services ...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… more
    Magellan Health Services (08/14/25)
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  • RN Manager , Healthcare Services

    Molina Healthcare (North Las Vegas, NV)
    …cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational ... Nevada residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to… more
    Molina Healthcare (08/13/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care. + Reviews medically… more
    Molina Healthcare (09/06/25)
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  • Registered Nurse - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established ... of the severity of an array illnesses, intensity of service , and care coordination needs + Ability to identify...appropriateness of patients admission and level of care needs ( inpatient & observation) utilizing Interqual criteria + Knowledged of… more
    Beth Israel Lahey Health (08/16/25)
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  • Manager Emergency Services DeFuniak…

    HCA Healthcare (Niceville, FL)
    **Description** **Introduction** Do you have the career opportunities as a Manager Emergency Services DeFuniak FSED you want in your current role? We invest in ... Certified Diabetes Education Program. We offer a variety of inpatient and outpatient diagnostic imaging and laboratory services...career path, we encourage you to apply for our Manager Emergency Services DeFuniak FSED opening. We… more
    HCA Healthcare (09/10/25)
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  • Associate Clinical Manager LPN Neuroscience…

    Penn Medicine (Philadelphia, PA)
    …of practice complexity): 1 practice location, tier 1 coordination of inpatient services , coordination of care across several departments/entities, academic ... day. Are you living your life's work? **Job Title:** Associate Clinical Manager LPN **Department:** Neuroscience Shared Services **Location:** Perelman Center… more
    Penn Medicine (08/16/25)
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  • Assistant Manager Medical Detox Alta View…

    Intermountain Health (Sandy, UT)
    **Job Description:** This position assists a Nurse Manager in providing management and oversight of daily Nursing activities to a Nursing Department. He/she is ... provide leadership and perform appropriate management functions delegated by the Nurse Manager including: resource allocation, safe working environment, optimal… more
    Intermountain Health (09/13/25)
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  • Senior Discharge Plan Manager (Weekend…

    UPMC (Pittsburgh, PA)
    …UPMC Presbyterian Shadyside is looking for a Senior Discharge Plan Manager to support their Clinical Care Coordination and Discharge Planning department! ... - 7:30 pm. The role of a Discharge Plan Manager will allow you to become a vital member...for a successful discharge and achieve continued improvement following inpatient care. + Advocate on behalf of patient/family/caregivers for… more
    UPMC (09/13/25)
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