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45 milliman care guidelines jobs

Registered Nurse - Utilization Review

Corizon 96 Reviews Tempe, AZ

Office environment with occasional travel to regional offices, client and/or vendor… HealtheCareers

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Appeals Care Manager

St. Francis Hospital Roslyn 6 Reviews Roslyn, NY

include retrospective clinical reviews and appropriate level of care determination. Knowledge of utilization review, utilization management criteria… St. Francis Hospital Roslyn

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Appeals Care Manager – new

St. Catherine of Siena Medical Center 23 Reviews Smithtown, NY

include retrospective clinical reviews and appropriate level of care determination. Knowledge of utilization review, utilization management criteria… St. Catherine of Siena Medical Center

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Case Manager (Non-Exempt)

Cook Children's Health Care System 41 Reviews Fort Worth, TX

The RN Case Manager (Non-Exempt) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to… Cook Children's Health Care System

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RN - Case Manager - Acute Care

Castle Medical Center Kailua, HI

Assists in collaboration, development, implementation, revision and reporting of the case management program. Is a liaison between the patient… Beyond.com

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RN Case Manager - Full time - Day - Medical Center San Antonio, TX – new

CHRISTUS Health 100+ Reviews San Antonio, TX

A. LOS: Impacts Medicare GMLOS by managing per Milliman/Interqual Care Guidelines… CHRISTUS Health

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LVN Case Manager - Full time - Day - Medical Center San Antonio, TX – new

CHRISTUS Health 100+ Reviews San Antonio, TX

A. LOS: Impacts Medicare GMLOS by managing per Milliman/Interqual Care Guidelines… CHRISTUS Health

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RN Case Manager - PRN - Day - Medical Center San Antonio, TX – new

CHRISTUS Health 100+ Reviews San Antonio, TX

A. LOS: Impacts Medicare GMLOS by managing per Milliman/Interqual Care Guidelines… CHRISTUS Health

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Regional Care Manager

Correct Care Solutions 54 Reviews Harrisburg, PA

The Regional Care Manager, in collaboration with the Regional Medical Directors and CCS site leadership, is responsible for the utilization… Beyond.com

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REFERRAL COORDINATOR UM

Mercy Hospital and Medical Center 19 Reviews Maywood, IL

Registered nurse provides clinical case management for a large BCBS HMO of Illinois medical group. Performs all inpatient utilization reviews using… Mercy Hospital and Medical Center

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Clinical Doc Integrity Spec

Fletcher Allen Health Care 38 Reviews Burlington, VT

The Clinical Documentation Improvement Specialist (CDIS) performs concurrent review of patient records to facilitate clarification of documentation… Fletcher Allen Health Care

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Case Manager (Non-Exempt)

Cook Children's Healthcare Fort Worth, TX

The RN Case Manager (Non-Exempt) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to… Beyond.com

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Mgr Ambulatory Care

MemorialCare 14 Reviews Tustin, CA

• This position is located in Tustin, CA About us: MemorialCare Medical Foundation (MCMF) works closely with physicians and other health care… MemorialCare

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CASE MANAGER

SUNY Downstate Medical Center 46 Reviews Brooklyn, NY

The Case Manager will provide hospital case management, utilization review and discharge planning to ensure that the patient progresses through the… Beyond.com

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Case Manager (Non-Exempt)

Hurst 100+ Reviews Fort Worth, TX

The RN Case Manager (Non-Exempt) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to… Hurst

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