- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …as a Certified Professional Coder required. + Three to five years of case management utilization review, or compliance related work experience in a hospital ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a… more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... who have unstable, inadequate, or no residence. Intensive care management is provided in collaboration with the local housing...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to those with… more
- UPMC (Pittsburgh, PA)
- …to LSW, LPC or CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to LSW, CSW… more
- Northern Light Health (Bangor, ME)
- …provides after-hours back up to multiple Acadia departments including Registration, Utilization Management , Facilities, Ambulatory Clinic Scheduling and the ... Outpatient Services. He/she presents case information to Clinical, Psychiatric and Nursing staff; schedules evaluations and admissions; fields crisis calls and… more
- Urbandale Community School District (Urbandale, IA)
- …are seeking qualified individuals who are eager and available to serve as a substitute nurse . School nursing , a specialized practice of nursing , protects and ... care, performance appraisal, education, collegiality, ethics, collaboration, research, resource utilization , communication, program management and health education.… more
- Billings Clinic (Billings, MT)
- …to resolve issues, escalates to Supervisor, Manager, or Director * Insurance and Utilization Management * Maintains working knowledge of CMS requirements and ... 2021 Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized… more
- Tufts Medicine (Burlington, MA)
- …in cooperation with multiple revenue cycle and hospital departments, such as Coding, Utilization Management (UM), Case Management , Quality and Physician ... **Preferred Qualifications:** 1. Master's degree in healthcare administration, Health Information Management , Health Informatics, Nursing or other related field… more
- MTC (Marion, OH)
- …clean; utilize appropriate sanitation methods. 7. Practice basic cost containment and utilization management for patient care and facility operations. 8. ... + Civic duty and military leave Impact lives with Management & Training Corporation (MTC)! At the **North Central...+ **Degree in nursing ** , current valid nursing license as a **Licensed Practical Nurse **… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in ... daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties… more
- Providence (Seward, AK)
- …+ 3 years Clinical nursing experience. + 1 year Utilization Management -review and Discharge-planning experience. + Experience associated with healthcare ... **Description** Uses Case Management Guiding Principles in partnering with patients and...system!** **Required qualifications:** + Graduation from accredited school of Nursing . + Upon hire: Alaska Registered Nurse … more