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Keywords: Utilization Management Clinician - RN, Location: USA

Page: 4

Care Review Clinician I

/medical experience Must have 1-2+ years Utilization Management experience; MCG criteria knowledge a plus 1 year...AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client...

Company: AltaStaff
Location: Las Vegas, NV
Posted Date: 08 Dec 2024
Salary: $40 - 42 per hour

Sales Clinician

product lines. We are seeking a Sales Clinician for our First Quality Products working remotely. This position... will be responsible for providing clinical direction and training to the customers as it applies to utilization of incontinence products...

Location: USA
Posted Date: 24 Nov 2024

Clinical Review Clinician - Appeals

of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure... Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Company: Centene
Location: USA
Posted Date: 25 Jan 2025
Salary: $26.5 - 47.59 per hour

Behavioral Health Clinician/Case Manager - Onsite ($5k sign on bonus)

. You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management... of behavioral health screenings, short term case management, coordination, and consultation with behavioral health treatment...

Location: San Diego, CA
Posted Date: 23 Jan 2025
Salary: $58300 - 114300 per year

Licensed Intake Clinician - Admissions - Night Shift

and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources... utilization. ​ESSENTIAL FUNCTIONS: ​Respond to inquiries about the facility within facility policy timeframes...

Posted Date: 11 Jan 2025
Salary: $25 - 47 per hour

Licensed Intake Clinician - Admissions - Night Shift

and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources... utilization. ​ESSENTIAL FUNCTIONS: ​Respond to inquiries about the facility within facility policy timeframes...

Location: Westminster, CO
Posted Date: 11 Jan 2025
Salary: $25 - 47 per hour

Admissions Clinician

professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure... continuity for the most appropriate level of care for patients and their benefit/resource utilization. Shift: Monday, Tuesday...

Location: USA
Posted Date: 13 Dec 2024

Admissions Clinician PRN

professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure... continuity for the most appropriate level of care for patients and their benefit/resource utilization. Seeking Day and Night...

Location: USA
Posted Date: 13 Dec 2024

Intake Clinician

assessments and utilization review processes to assure continuity for the most appropriate level of care for patients... and their benefit/resources utilization. Responsibilities: ​ESSENTIAL FUNCTIONS: ​Respond to inquiries about the facility...

Posted Date: 07 Dec 2024

RN Case Manager - Case Management - Days

with our Case Management team, providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs... and monitoring resource utilization to achieve optimal clinical outcomes and financial goals. The Case Manager is responsible...

Company: Integris Health
Location: USA
Posted Date: 05 Nov 2024

Nursing Manager - Case Management Department (5 yrs of experience required)

. Experience in discharge planning / utilization management / case management functions, in both managed care and non-managed care...: Responsibilities: The working Manager of Case Management is responsible for the development of staff and systems to effectively...

Posted Date: 01 Feb 2025
Salary: $103916.8 - 139838.4 per year

Medical Management Nurse

skills, qualifications and experiences: Prior experience in inpatient Utilization Management, preferred. 4-5 years...Anticipated End Date: 2025-02-24 Position Title: Medical Management Nurse Job Description: Be Part...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 01 Feb 2025

Nursing Manager - Case Management Department (5 yrs of experience required)

. Experience in discharge planning / utilization management / case management functions, in both managed care and non-managed care...Responsibilities The working Manager of Case Management is responsible for the development of staff and systems...

Company: Prime Healthcare
Location: Lynwood, CA
Posted Date: 01 Feb 2025
Salary: $103916.8 - 139838.4 per year

Medical Management Nurse

skills, qualifications and experiences: Prior experience in inpatient Utilization Management, preferred. 4-5 years...Anticipated End Date: 2025-02-24 Position Title: Medical Management Nurse Job Description: Be Part...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 31 Jan 2025

Medical Management Nurse

a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review... in inpatient Utilization Management, preferred. 4-5 years of experience in a hospital setting. ER, ICU, MedSurg, preferred...

Company: Elevance Health
Location: Tampa, FL
Posted Date: 31 Jan 2025

Medical Management Nurse

skills, qualifications and experiences: Prior experience in inpatient Utilization Management, preferred. 4-5 years...Anticipated End Date: 2025-02-24 Position Title: Medical Management Nurse Job Description: Be Part...

Company: Elevance Health
Location: Miami, FL
Posted Date: 31 Jan 2025

Director of Care Management, Medicaid Regions 3 & 5

, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting... Hanover Pender Richmond Robeson Sampson Scotland Fully licensed clinician (e.g., LCSW, LCMHC, RN, LMFT). 5+ years of Care...

Company: Elevance Health
Location: Fayetteville, NC
Posted Date: 17 Jan 2025

Director of Care Management, Medicaid Regions 4 & 6

clinician (e.g., LCSW, LCMHC, RN, LMFT). 5+ years of Care Management/population health experience in a healthcare organization... in a related field, including prior management experience and clinical, quality, and/or utilization management experience...

Company: Elevance Health
Location: Durham, NC
Posted Date: 17 Jan 2025

Director of Care Management, Medicaid Regions 1 & 2

licensed clinician (e.g., LCSW, LCMHC, RN, LMFT). 5+ years of Care Management/population health experience in a healthcare... in a related field, including prior management experience and clinical, quality, and/or utilization management experience...

Company: Elevance Health
Location: Winston-Salem, NC
Posted Date: 17 Jan 2025

RN Case Manager - CA Remote

of patients under the supervision of a clinician or RN, Supervisor, or RN Charge Nurse. Delegates tasks as needed to professionals... with established disease management and care management programs to optimize clinical outcomes and minimize unnecessary institutional...

Location: Chatsworth, CA
Posted Date: 01 Feb 2025
Salary: $23.7 - 46.35 per hour