• Option Care Health (Cincinnati, OH)
    …Care and externally with customers (ex. medical director, head of case management , executive c-suite individuals). Travel Requirements: (if required)Willing ... revenue, margin, and referral growth. Plays an active role in account management and business development efforts with team, engaging customers and both modeling… more
    JobGet (06/01/24)
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  • 4S (Bethesda, MD)
    …services to other team members as required.Participate fully in assigned Quality Management / Utilization Management programs and initiatives. The ... clinical leadership, participate fully in established Program Evaluation and Quality Management / Utilization Management programs and initiatives… more
    JobGet (06/01/24)
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  • A-Line Staffing Solutions (San Antonio, TX)
    … Review, Utilization Management , Home Health, Home Healthcare, Managed Care, MCO, Case Manager , Case Management , Care Manager , Care ... previous job titles or background work will in this role? Service Coordination, Case Management or Nursing experience Pay Rate: $20 -$25 per hour Hours: Monday -… more
    JobGet (06/01/24)
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  • A-Line Staffing Solutions (San Antonio, TX)
    …MCO, Health Insurance, Health Plan, Managed Care, Care Manager , Queue Management , Case Management , Medications, Insurance Verification, Pharmacy, Prior ... Medicaid, Discharge Planning, Determination Review, Clinical Review, DSNP, Risk Assessment, Utilization Management , Utilization Review, Managed Care,… more
    JobGet (06/01/24)
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  • Mindlance (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review/ case management /clinical/or combination; 2 of ... / Registered Nurse License . Chronic condition care . Case Management Job Responsibilities Reviews and evaluates...quality, cost effective outcomes. these to a lead or manager for resolution. Identifies and reports potential fraud and… more
    JobGet (06/01/24)
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  • A-Line Staffing Solutions (Mcallen, TX)
    …MCO, Health Insurance, Health Plan, Managed Care, Care Manager , Queue Management , Case Management , Medications, Insurance Verification, Pharmacy, Prior ... Medicaid, Discharge Planning, Determination Review, Clinical Review, DSNP, Risk Assessment, Utilization Management , Utilization Review, Managed Care,… more
    JobGet (06/01/24)
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  • Hired by Matrix (Los Angeles, CA)
    …and procedures Develops treatment plans, supervises assistants and aides, contributes to case management , and provides quality patient care Maintains positive ... times. Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness,… more
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …Health, Case management , Health Care Advocate, Healthcare Specialist, case manager , long term care. MDS, Clinical experience, hospital, nurse auditor, ... outside of the Department of Human Services on critical incident management . Hybrid Auditor Review Registered Nurse Requirements Licensed Registered Nurse Knowledge… more
    JobGet (06/01/24)
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  • Hired by Matrix (Santa Clara, CA)
    …daily operation in assigned area which may include staffing, scheduling, case management , utilization , and equipment/supplies. Supports Managers/Director ... growth and success of the Rehabilitation Department. With support from Manager , assures effective working relationships, motivates staff in fulfilling job… more
    JobGet (06/01/24)
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  • Cambia Health Solutions, Inc (Renton, WA)
    …direct clinical careMust have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's degree ... health care experience.Are you an RN who has experience with utilization and care management ? Do you enjoy conducting needs analysis to identify and recommend… more
    JobGet (06/01/24)
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