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Nurse Specialist II
Qlarant
Completes case summaries and provides results to investigators to support the investigative process.
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Utilization Review Registered Nurse
Sentara Hospitals
As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary…
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Project Manager III
Qlarant
…Certified Professional in Healthcare Management (CPHM), Certified Case Manager (CCM), Registered Nurse (RN), Certified Professional Coder (CPC), and/or Certified Fraud Examiner…
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Sr Nurse - Quality & Acc.
WNS Global Services
Contributes audit findings and case examples to the department’s updates for Operations and Clinical Education
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Senior Complex Case Manager (RN)
Medix Staffing Solutions
Our client is seeking a dedicated Complex Case Manager (RN) to develop and manage individualized, comprehensive care plans for Pediatric members. This role involves promoting optimal,…
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Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
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Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Northern Utah / Wasatch Corridor
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
Added
Clinical Case Manager- Central & Southern Utah
Activate Care
The Clinical Support Supervisor will provide case consultation, reinforce evidence-based chronic disease self-management approaches, support clinical escalation protocols, strengthen…
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Case Manager RN - Remote
Highmark Inc
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case…
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RN Managed Care Coordinator I
BlueCross and BlueShield of South Carolina
…and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into…
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RN Concierge Care Manager - Medical Case Management
BlueCross and BlueShield of South Carolina
We are currently hiring for an RN Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role as an RN Concierge Care Manager, you will provide care management…
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Case Manager RN (H) Remote
UM Corp (Enterprise)
The University of Miami UHealth Department of UMHC-SCCC Business Operations has an exciting opportunity for a full time Case Manager RN (Remote). The incumbent coordinates the overall…
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RN Care Navigator/Case Manager (100% Remote for Eastern & Central time zones)
Healthmap Solutions
The Registered Nurse, Care Navigator/Case Manager will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum…
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Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required)
E2E Alignment Healthcare USA, LLC
…complex care patients? Join Alignment Health as a Telephonic RN Case Manager for our Special Needs Plan (SNP) members - all from the comfort of your…
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Medical Records Technician (Clinical Documentation Improvement Specialist)
Veterans Health Administration
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Utilization Management RN
PHH Peak Health Holdings
…resources to meet their care conditions. Reports to the Health Plan Manager of Utilization Management. This position will be an integral member of the health plan’s medical management team.…