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CareerBuilder Apply Only
CAREERBUILDER APPLY

Full-Time | Pay: $50k - $62k/year

Job description Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals,...

Columbia, SC

CAREERBUILDER APPLY

Full-Time | Pay: $155k - $200k/year

FORTUNE 500 MANAGED CARE ORGANIZATION Job description Promotes professional development through the application of principles of adult learning in broad-based program development. Leveraging expertise in KP's electronic medical record,KP HealthConnect (KP...

Graham, NC

CAREERBUILDER APPLY

Full-Time | Pay: $155k - $200k/year

FORTUNE 500 MANAGED CARE ORGANIZATION Job description Promotes professional development through the application of principles of adult learning in broad-based program development. Leveraging expertise in KP's electronic medical record,KP HealthConnect (KP...

San Mateo, CA

CAREERBUILDER APPLY
3d
3 days ago

Full-Time | Pay: $58k - $62k/year

FORTUNE 500 MANAGED CARE ORGANIZATION Job description Position Purpose: Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to a...

Indianapolis, IN

CAREERBUILDER APPLY

Full-Time | Pay: $88k - $110k/year

WORK FROM HOME Currently seeking anRN to perform Field Case Management services in the Long Beach, CA area. The ideal candidate will possess a current unrestricted CA RN license with workers compensation case management experience. Responsibilities of the...

Houston, TX

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CAREERBUILDER APPLY

Full-Time | Pay: $88k - $110k/year

WORK FROM HOME Currently seeking anRN to perform Field Case Management services in the Long Beach, CA area. The ideal candidate will possess a current unrestricted CA RN license with workers compensation case management experience. Responsibilities of the...

Long Beach, CA

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $90k/year

Currently seeking an RN for a Case Manager role in the San Diego, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in workers compensation. Responsibilities of the RN Case Manager - Workers Com...

San Diego, CA

CAREERBUILDER APPLY

Full-Time | Pay: $65k - $85k/year

FORTUNE 500 ORGANIZATION Position Purpose: Supervise the day to day work functions of the Pre Certification and Referral Specialist staff Supervise and coordinate the workflow by means of monitoring queue volume and aging, or review of reports/data Educat...

Aurora, OH

CAREERBUILDER APPLY

Full-Time | Pay: $65k - $85k/year

FORTUNE 500 ORGANIZATION Position Purpose: Supervise the day to day work functions of the Pre Certification and Referral Specialist staff Supervise and coordinate the workflow by means of monitoring queue volume and aging, or review of reports/data Educat...

Orlando, FL

CAREERBUILDER APPLY

Full-Time | Pay: $45k - $55k/year

Position Purpose: Identify special needs members through the completion of health screens and other resources. Work with community outreach/member advocates to coordinate member care. Educate providers and community resources on program components and ava...

Milwaukee, WI

CAREERBUILDER APPLY

Full-Time | Pay: $50k - $65k/year

Job description Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals,...

Little Rock, AR

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

Currently seeking an RN for a Case Manager role in the Bay area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in worker’s compensation. Responsibilities of the RN Case Manager - Workers Compensation...

San Francisco, CA

CAREERBUILDER APPLY

Full-Time | Pay: $55k - $60k/year

Job description Position Purpose: Perform duties related to the day-to-day operations of the Service Management functions for STAR Kids members to achieve the highest possible levels of functioning and wellness by ensuring consistent, timely access to med...

Wichita Falls, TX

CAREERBUILDER APPLY
4d
4 days ago

Full-Time | Pay: $65k - $82k/year

Job description Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adju...

Yakima, WA

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $115k/year

WORK FROM HOME Currently seeking an RN for a Case Manager role in the Pasadena, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in workers compensation. Responsibilities of the RN Case Manager...

Pasadena, CA

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CAREERBUILDER APPLY

Full-Time | Pay: $85k - $115k/year

Currently seeking an RN for a Case Manager role in the Santa Monica area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in workers compensation. Responsibilities of the RN Case Manager - Workers Comp...

Santa Monica, CA

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

Currently seeking an RN for a Case Manager role in the Riverside, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in worker’s compensation. Responsibilities of the RN Case Manager - Workers Co...

Riverside, CA

CAREERBUILDER APPLY

Full-Time | Pay: $61k - $66k/year

Job description Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance wit...

Maitland, FL

CAREERBUILDER APPLY
4d
4 days ago

Full-Time | Pay: $60k - $70k/year

SUMMARY: The delivery system practiced at FHN Memorial Hospital employs the concepts of team nursing incorporating the workforce standards as set forth by FHN. Coordinates and provides nursing care to identified patient population. Utilizes team approach...

Freeport, IL

CAREERBUILDER APPLY
4d
4 days ago

Full-Time | Pay: $62k - $75k/year

Job description Position Purpose: Provide telephonic disease management services to individuals with cardiac related health conditions. Services may include educating members, counseling and coordinating care. Act as the Health Coach for patients with car...

Farmington, CT

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

WORK FROM HOME Currently seeking an RN to perform Field Case Management services for Workers' Compensation claims in the Orange, CA area. The ideal candidate will possess a current unrestricted CA RN license with 1 year of case management experience. Resp...

North Tustin, CA

CAREERBUILDER APPLY
4d
4 days ago

Full-Time | Pay: $60k - $68k/year

Job description Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's cur...

Milwaukee, WI

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

Currently seeking an RN for a Case Manager role in the Bakersfield area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience in worker’s compensation. Responsibilities of the RN Case Manager - Workers Comp...

Bakersfield, CA

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $110k/year

Currently seeking an RN for a Case Management services role in the Sacramento, CA area. The ideal candidate will possess a current unrestricted CA RN license with Case Management experience. Responsibilities of the Nurse Case Manager - Workers Comp Resear...

Sacramento, CA

CAREERBUILDER APPLY

Full-Time | Pay: $75k - $100k/year

FORTUNE 500 COMPANY Position Purpose: Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions. Review analyzes o...

Sunrise, FL

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