• SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req ... + FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
    Alameda Health System (08/08/25)
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  • Nurse Case Manager - RN - FT…

    Nuvance Health (Danbury, CT)
    …of Associate Degree in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one year as an ... / or discussion. 13. Proactively interacts with third party payers to prevent denials . 14. Acts as liaison between patient, physician, family, and health care team… more
    Nuvance Health (09/12/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate /Case Manager ** is a valuable member of our team, who provides ... high standard of excellence. **Duties of a TH Staff Associate /Case Manager in the Care Management Department...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse … more
    Stony Brook University (10/14/25)
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  • Regional Manager Denial Management…

    McLaren Health Care (Grand Blanc, MI)
    …+ Associate 's degree in nursing or healthcare related field **.** Current Registered Nurse license in the state of Michigan or possess a Doctor ... **Position Summary:** Responsible for assisting the Corporate Director Denials Management in providing regional management of day-today operation and workflow of the… more
    McLaren Health Care (09/26/25)
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  • Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate… more
    Community Health Systems (10/14/25)
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  • Case Manager I

    UNC Health Care (Rocky Mount, NC)
    …in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact days and constructively offers more cost-effective ... 3. Determines frequency of patient reassessments according to identified needs and input from RN and MD. Serves as a resource person for nursing staff related to… more
    UNC Health Care (10/07/25)
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  • Nurse Case Manager - FT Days

    Nuvance Health (Poughkeepsie, NY)
    …- Discharge Planning primarily Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the ... are a priority and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor...possible. 5. Supports the effective prevention and management of denials , including providing information as part of the appeal… more
    Nuvance Health (10/04/25)
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  • Clinical Analyst Appeals

    Beth Israel Lahey Health (Charlestown, MA)
    …difference in people's lives.** This is a remote based role. Reporting to the Manager , Patient Financial Services, the Clinical Analyst plays an important role in a ... appeal requests as appropriate. * Responsible for appealing and defending claims denials , adverse audit results, and sanctions. * Analysis, tracking, and trend of… more
    Beth Israel Lahey Health (10/11/25)
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  • Nurse , Care Management

    Alameda Health System (Oakland, CA)
    …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Nurse , Care Management + Oakland, CA + Highland...based on identified criteria and ensures the patient is registered at the appropriate level of care. Utilizes McKesson… more
    Alameda Health System (10/18/25)
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  • Physician - Pediatric Adolescent Medicine

    Ascension Health (Austin, TX)
    …and gynecology) + **Practice Detail:** Ambulatory Clinic Support: Medical Assistant, Registered Nurse , Social Worker, Dietician, Psychology + **EMR System:** ... consisting of: Nurse Practitioner specializing in eating disorders, Psychologists, Nurse Manager , RNs, Medical Assistants, Social Workers, and collaboration… more
    Ascension Health (09/17/25)
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