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CAREERBUILDER APPLY

Full-Time

REGISTERED NURSE / UTILIZATION REVIEW / HOME CARE A-Line Staffing Solutions is seeking experienced Registered Nurses to perform case management with a reputable healthcare organization in Brooklynn, NY. Seeking bi-lingual candidates who speak English and...

New York, NY

Full-Time

Working at the highest level of practice, this position will support the interdisciplinary care teams lead by a nurse practitioner to implement, monitor and evaluate patient interventions and treatment care plans. He/she will assist with sick visit triage...

Smithfield, RI

CAREERBUILDER APPLY

Full-Time

-Registered Nurse - Quality Department A renowned San Fernando Valley Hospital is seeking to add an experienced Quality Nurse to their team -You will be extracting documents from Outpatient records and charts - Reviewing and studying past cases and identi...

Burbank, CA

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Full-Time

Position: Registered Nurse (Utilization Review) Location: Troy, Michigan Placement: Contract-to-direct hire Duties: This RN will be providing utilization review for the Medicaid line of business; primarily inpatient, skilled nurses facilities, rehab, beha...

Troy, MI

CAREERBUILDER APPLY

Full-Time

Case Manager (Insurance) – Registered Nurse Seattle, WA Area Full Benefits Top Pay Bonus Structure RN – Registered Nurse – Case Manager (Insurance) - RN Relocation Assistance Top Organization Opportunity for growth 1+ year of recent Case Manager experienc...

Seattle, WA

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CAREERBUILDER APPLY

Full-Time

Here's what you will receive as a Registered Nurse - Medical Case Manager: Work regular hours in a business setting Work Monday through Friday No Nights! No Weekends! Holidays Off! No On Call! - No Field Travel Travelers is one of the leading insurance co...

Melville, NY

CAREERBUILDER APPLY

Full-Time

Job Title: Texas Licensed RN/Registered Nurse Job Location: Austin, TX 78727 Job duration: 6 months + possibility of extension Shift Timings: 8 hours shift between 7 am to 7 pm Job Description: The Registered Nurse conducts pre-service, concurrent/ retros...

Austin, TX

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CAREERBUILDER APPLY

Full-Time

Quality Case Manager Palliative Care - Registered Nurse Looking for a California Registered Nurse (valid) to perform medical reviews, audits, assist with chart integrity, prepare and correct billing for hospice, home health and/o palliative care. Must hav...

Torrance, CA

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CAREERBUILDER APPLY

Full-Time

Registered Nurse - RN MDS Coordinator Successful Long Term Care provider in the Cleveland, OH area is currently seeking a Registered Nurse interested in using his/her MDS knowledge in the position of RN MDS Coordinator. Qualified candidates must have a va...

Confidential

Cleveland, OH

CAREERBUILDER APPLY

Full-Time

Successful Medical Group in the San Fernando Valley is looking for a Registered Nurse Case Manager. A successful candidate will have at least one (1) year of Telephonic Case Management experience in a Managed Care or Health Plan setting. Must have an unde...

Los Angeles, CA

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Full-Time | Pay: $33.00 - $35.00/hour

Aerotek is partnered up with a large health insurance company in the Sunrise, FL area. They are seeking a Concurrent Review Registered Nurses who have experience with utilization review. Schedule: M-F, 8-5:30PM Pay: Based on experience Job Duties: Review...

Sunrise, FL

Full-Time

Position: RN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: Days Education Level: Associate's Degree Location Name: Blue Point Nursing & Rehabilitation Center RN - MDS Coordinator - Registered Nurse Clinical Reimbursement Specialist...

Baltimore, MD

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Full-Time

Oversees the accurate processing of home health and hospice Medicare claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards and local, state and federal laws and regulations. Identifies and imp...

CGS Administrators, LLC

2 Vantage Way
Nashville, TN

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CAREERBUILDER APPLY

Full-Time

Nationwide Organization Description: Responsible for overall organization and financial management of the agency, direction of agency operations and functions according to approved policies, procedures and standards. Ensures the delivery of quality care t...

Dothan, AL

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Full-Time

Knowledge/Skills/Abilities * Assess the Health Plan's Integrated Healthcare Services team's clinical and regulatory educational needs. * Evaluate the clinical staff skill level and competency in the delivery of the clinical programs in the health plan. *...

Columbus, OH

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CAREERBUILDER APPLY

Full-Time

DESCRIPTION: Seeking RN to perform Field Case Management services for Workers' Compensation claims in the Los Angeles area. Frequent travel to attend medical appointments and meetings. Provides a dynamic environment and a comprehensive benefit package aft...

Los Angeles, CA

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CAREERBUILDER APPLY

Full-Time

Job description Position Purpose: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. Assure compliance with established referral, pre-c...

Clearwater, FL

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Full-Time | Pay: $27.00/hour

Med-Scribe, Inc. recruits top-notch nurses for great administrative positions and this position is a possible work from home after training! You must be in the Rochester, NY area a work on-site usually for a min. of ninety days. Looking to transition your...

Rochester, NY

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Full-Time | Pay: $28.00 - $34.00/hour

Our client is hiring for Prior Authorization or Utilization Review Registered Nurses. Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, skilled care and specialty procedures for Medicaid memb...

Fort Lauderdale, FL

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CAREERBUILDER APPLY

Full-Time

The Resident Care Coordinator is responsible for ensuring the general well-being of residents through the delivery of high quality service in a manner that is consistent with the assisted living philosophy. The Resident Care Coordinator will establish pro...

Saint Petersburg, FL

CAREERBUILDER APPLY

Full-Time

Job description Position Purpose: Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully...

Columbus, OH

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Full-Time

UR - RN – Registered Nurse –Telephonic Utilization Review Nurse Attention Texas Registered Nurses! Would you enjoy an opportunity to Work at Home Monday through Friday 8am-5pm? Humana wants YOU to join our growing team of Telephonic Utilization Review Nur...

Humana

Work from Home - Statewide - Texas

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CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

REGISTERED NURSE / CASE MANAGER / LICENSED PRACTICAL NURSE A-Line Staffing Solutions is seeking an experienced Registered Nurse or Licensed Practical Nurse to perform telephonic case management with a reputable managed care organization in Doral, FL. Must...

Doral, FL

CAREERBUILDER APPLY
4w
4 weeks ago

Full-Time | Pay: $30.00/hour

REGISTERED NURSE / CASE MANAGER / TELEHEALTH A-Line Staffing Solutions is seeking experienced Registered Nurse (RN) professionals to work a full-time, Case Management position with a major managed care organization based in Wayne County. This position req...

Grosse Pointe, MI

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Utilization Management / Registered Nurse / Licensed Practical Nurse / Utilization Review Description: Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical informat...

Doral, FL

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