Utilization Management Nurse - Patient Case Management in Raleigh, NC for WakeMed Health & Hospitals

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RN Hospice Registered Nurse

BJC HealthCare

Glen Carbon, Illinois

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Mental Health Therapist I - Inpatient Behavioral Health Unit

Akron Children's

Akron, Ohio

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Case Manager I, RN - Patient Case Management

WakeMed Health & Hospitals

Raleigh, North Carolina

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RN PCU Nights

Baylor Scott & White Health

Grapevine, Texas

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Registered Nurse Patient Navigator Senior - Primary Family Medicine

CHRISTUS Health

Tyler, Texas

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Physical Therapist - Rehabilitation Care Coordinator Inpatient

Veterans Affairs, Veterans Health Administration

Grand Junction, Colorado

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RN / REGISTERED NURSE - CARDIAC REHAB

Beebe Healthcare

Lewes, Delaware

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Clinical Practice Transformation Coordinator

Geisinger

Danville, Pennsylvania

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Inpatient Care Manager (RN)- Per-Diem, Days, 8am-5pm, Chilton Medical Center

Atlantic Health System

Pompton Plains, New Jersey

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RN Hospice Registered Nurse Case Manager

BJC HealthCare

Glen Carbon, Illinois

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Licensed Clinical Social Worker - Outpatient Pediatrics

Geisinger

Lewisburg, Pennsylvania

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Advanced Practice Provider - Orthopedic Oncology - RUMC (Downtown)

Rush University Medical Center

Chicago, Illinois

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Acute Internal Medicine Registered Nurse- Nights

BJC HealthCare

Saint Louis, Missouri

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Certified Nurse Midwife/CNM - Alice

CHRISTUS Health

Alice, Texas

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Mental Health Therapist I - Inpatient Behavioral Health Unit

Akron Children's

Akron, Ohio

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Community Health Worker

Geisinger

Pittston, Pennsylvania

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Seasonal Care Manager RN PRN

Baylor Scott & White Health

Fort Worth, Texas

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Acute Medicine Clinical Nurse - FT Nights

BJC HealthCare

Saint Louis, Missouri

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Community Health Worker

Geisinger

Pittston, Pennsylvania

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Community Health Worker

Geisinger

Pittston, Pennsylvania

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Physician Assistant or Nurse Practitioner - OB/GYN

Marshfield Clinic Health System

Weston, Wisconsin

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Registered Nurse - Cellular Therapy Transplant Coordinator - *** HYBRID - $10k SIGN ON BONUS ***8 Hour Days

Cedars Sinai

Beverly Hills, California

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Senior Clinical Documentation Specialist (RN required) (CCDS or CDIP cert preferred) - REMOTE

Vanderbilt Health

Nashville, Tennessee

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RN - Registered Nurse - Care Manager - Emergency Department

Geisinger

Scranton, Pennsylvania

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Physical Therapist I: Per Diem Days, Atlantic Rehab Wayne

Atlantic Health System

Wayne, New Jersey

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Utilization Management Nurse - Patient Case Management

OverviewResponsible for performing a comprehensive review of the medical record to assess for accuracy in the assignment of patient class (status) that is congruent with the patient's clinical condition, physician intent, medical necessity and current rules and regulatory requirements. Documents accurate and timely clinical reviews to support medical necessity and obtain payer authorization. Complies with current rules and regulatory requirements pertaining to utilization management. Communicates and collaborates with providers and members of the health care team to promote optimal, appropriate, and cost- effective utilization of resources. Identifies, addresses, and mitigates avoidable days whenever possible. Department Description

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