- Geisinger (Danville, PA)
- …To learn more about Geisinger opportunities, please contact Katy Baralt, Nurse Recruiter, at ###@geisinger.edu. Job Duties Assesses plans, organizes, performs, and ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more
- Geisinger (Danville, PA)
- …safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets ... care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team… more
- Community Health Systems (Naples, FL)
- THIS IS NOT A REMOTE POSITION **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case ... management activities to ensure optimal patient outcomes. This role...assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams… more
- US Tech Solutions (GA)
- **Job Description:** This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA ... is necessary and will involve computer system data entry, data management , and reporting. + Review criteria-based prior authorizations following policy and… more
- Tufts Medicine (Melrose, MA)
- …in developing and maintaining an infrastructure for the systematic review and management of complex patients. The position will work closely with PHO medical ... to review patient records, analyze data, and identify practice and patient outlier utilization , and gaps in quality measures for weekly practice and medical director… more
- Magellan Health Services (Morrisville, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... care plan, member education on health-related social needs, and care management . Entails coordination with PA HealthChoices physical health managed care… more
- Magellan Health Services (Baton Rouge, LA)
- … management and verbal and written communication skills. Knowledge of utilization management procedures, Medicaid benefits, community resources and providers. ... care setting. Also requires minimum of 4 years of experience conducting utilization management according to medical necessity criteria. General Job Information… more
- US Tech Solutions (Columbia, SC)
- **Location: Columbia, SC 29229 ( Remote after training)** **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have ... through Friday, 8:30am-5:00pm. + Onsite training for the first 1-2 weeks remote position after training. + Reviews and evaluates medical or behavioral eligibility… more
- AccentCare, Inc. (Austin, TX)
- …as needed, etc. + Reporting and management of case management model with focus on paraprofessional utilization - including correct ... Office Position: Clinical Support Specialist Position Type: Full-Time in the office Remote /Virtual Position: No Find Your Passion and Purpose as a Clinical Support… more
- Providence (CA)
- …in a medical record. + 2 years - HEDIS, Quality management /quality improvement/ utilization review auditing experience, including experience in auditing ... an "as needed basis" to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the following states:** + Alaska +… more