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Occupational Nurse Consultant (ONC/CQCT)
State of Washington
…determinations between provider electronic health record EHR)/practice management systems and relevant…
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Supervisor -RN, Utilization Management
SSM Health Care Corporation
Bring your clinical expertise and leadership experience to our Supervisor - RN, Utilization Management role, where you’ll guide and develop RN professionals, promote consistent utilization…
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Supervisor, Behavioral Health Utilization Management
Centene Management Company LLC
…staying close to the field you know? Centene is seeking a remote Supervisor, Behavioral Health Utilization Management, to lead our PIC ABA team of certified BCBAs. This is a provider-facing…
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CDI Supervisor
Guidehouse Managed Services LLC
The CDI Supervisor manages daily CDI assignments, makes staffing adjustments to support adequate coverage, and monitors productivity, utilization, compliance, key performance indicators,…
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TCM/FCM Hybrid Nurse Case Manager
Rising Medical Solutions
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
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TCM/FCM Hybrid Nurse Case Manager
Rising Medical Solutions
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
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TCM/FCM Hybrid Nurse Case Manager
Rising Medical Solutions
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
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TCM/FCM Hybrid Nurse Case Manager
Rising Medical Solutions
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
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TCM/FCM Hybrid Nurse Case Manager
Rising Medical Solutions
Knowledge of utilization management, case management, and healthcare provided throughout the health continuum
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Audit Manager
Arizona Department of Administration
…Investigations Unit as a highly skilled Registered Nurse with Utilization Review (UR) experience. This individual will provide assistance and guidance to subordinates, as well as, executive…
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RN - Clinical Supervisor
MGA Home Healthcare North Carolina LLC
Day to day management of provider issues and care delivery.
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RN Medical Management Services
Banner Health
…process health plan medical pre-service requests, provide case management, care coordination and perform utilization management duties within the appropriate time period as outlined in the…
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RN Care Management Supervisor (Maternity/NICU Focus)
BlueCross and BlueShield of South Carolina
We are currently hiring for a Care Management Supervisor to join BlueCross BlueShield of South Carolina. In this role as a Care Management Supervisor, you will be responsible for the…
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Clinician, Clinical Response
About Us
The Clinical Response Clinician provides excellent clinical customer service, utilization management support, and operational guidance to members, families, providers, and internal teams.…
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Regional VP, Home Health
Alternate Solutions Health Network, LLC
The RVP I provides oversight for Field Administrators and Utilization Managers team on management of office operations, staffing, teammate management and development, partner collaboration,…
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Temporary RN Nurse Case Manager
AvonRisk
…in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G…
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Supervisor, Care Management (53510)
GLOBALHEALTH HOLDINGS LLC
…development and leadership of assigned members of the Care Management Team. This includes the determination, planning, development, organization, implementation and evaluation of SNP and…
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Nurse Team Lead - Clin Rev
WNS Global Services
Provides secondary Nursing Management coverage when the Supervisor or Manager is unavailable.
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EPIC Analyst, Level 3 - IT EPIC Clinical - Full Time
Guthrie
5 years as an Epic Builder with progressively receiving more responsibility and management skills
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Care Manager ToC (RN)
Maryland Care Management, Inc
…timely oversight of care plans for members with identified Care Management (CM) needs. The incumbent is responsible for managing the care management process as defined by improving…
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Clinical Supervisor (Massachusetts)
Tuesday Health
The Clinical Supervisor serves as an experienced and collaborative leader within Clinical Operations, working in partnership with the Manager of Clinical Operations, Market Leadership,…
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Senior Clinical Strategist
CVS Health
…impact Stars and quality but will also focus on improvements in utilization and…
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Senior Clinical Strategist
Aetna Resources, LLC
…impact Stars and quality but will also focus on improvements in utilization and…
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Telephonic Medical Case Management Supervisor
Tristar Insurance
The Supervisor is accountable for overseeing the performance of their assigned team. They play a key role in implementing company best practices to achieve departmental goals and…
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Case Manager RN (52895)
GLOBALHEALTH HOLDINGS LLC
This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate…
