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ADAPTED_NOW

Our organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We are currently recruiting board certified physicians with an active/unrestricted license for the following services: Texas state licensed MDs to perform Independent Medical Evaluations throughout the state of Texas (Orthopedists, Psychiatrists, Neurologists, Physical Medicine, Occupational Medicine).

Dane Street

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY (Orthopedists, Psychiatrists, Neurologists, Physical Medicine, Occupational Medicine)

FEED

This role serves as a senior clinical compliance subject matter expert and performs advanced auditing, monitoring, and compliance validation activities to ensure adherence to Utilization Management (UM) and Population Health Management (PHM) Plans, Managed Services Agreements (MSAs), and value-based care program requirements. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business-ensuring we continue to grow as a high-performing, mission-driven team and you continue to grow and thrive as a member of our high-performing, mission-mission driven team.

YEAR

Guidehealth

Clinical Compliance Auditor - Remote

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OTHER

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Encompass Health Rehabilitation Hospital of Arlington

Case Manager

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FULL_TIME

The OR Manager serves as a key member of the leadership team and collaborates closes,' with surgeons, anesthesia providers, administration, and clinical staff to ensure safe, efficient, and exceptional patient care. The Operating Room Manager is expected to regularly participate in patient care activities while maintaining accountability for staffing oversight, orthopedic surgical operations, pharmacy management, regulatory compliance, and department performance.

SP MANAGEMENT SERVICES INC-7V4WB

OR Manager FT

Encompass Health Rehabilitation Hospital of Plano

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

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Requires regular interaction with physician leadership and Children's senior leaders as well as business leaders such as Group Purchasing Organization and CHA leadership to determine next steps in utilization, cost controls, or product issues. Retrieves products and collects issue data related to patient safety events and recalls to ensure communications occur with internal clinical staff and leadership as well as vendor so that a resolution can be determined, which might mean converting even temporarily to another product.

Children's Medical Center

Clinical Value Analysis Manager

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Enlyte Group LLC

Bilingual Field Case Manager

Works collaboratively with multiple stakeholders in Infusion Operations to ensure required clinical information is received and reviewed in the infusion intake workflow based on payer and regulatory requirements and lead and manage the appeal process as required. Work Environment: Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods of time.

REQUIRE: MARKETING PERSON FOR KOLKATA REGION 
FOR- RESINS & MEDIAS FOR WATER / EFFLUENT TREATMENT E.T.C- 
OF A RENOWED BRAND
 
 CONTACT - <a target="_blank" rel="noopener noreferrer">aballiance1961@gmail.com</a>

GI Alliance

Clinical Review Specialist (31389)

The Nurse Manager I will assure quality and cost-effective care for clinic patients, and will manage a patient's course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources. POSITION SUMMARY: Under the supervision of the Chief Nursing Officer (CNO)/ Deputy Nursing Officer (DNO) and in collaboration with the Site Medical Director, the Nurse Manager I(NM) will provide culturally competent medical, services to low-income adult individuals in Los Angeles County, with a specific focus on underserved communities.

APLA Health & Wellness

Nursing Manager

Overview: The Vice President of Clinical Services provides day-to-day executive leadership and operational oversight of nursing, therapy, and ancillary services across the organization’s clinical programs and hospitals, ensuring the delivery of safe, high-quality, patient-centered care and the achievement of clinical, operational, and organizational objectives. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves.

PAM Health Corp Business Office

Vice President of Clinical Services | PAM Health Corporate

[AW]-iCims

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Enlyte

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp.

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Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding Auditory/Visual: Hearing, vision and talking. Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.

Amtrust Financial Services Inc

Medical Case Manager

Upon notification of an identified infection, assesses the situation, implements isolation precautions or other preventative measures to prevent the spread of diseases, monitors and follows up to ensure that infection control procedures are implemented, and individual treatment plans are implemented/ modified as needed. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza.

Texas Health and Human Services Commission

Infection Control Practitioner

Plans patient care based on in-depth knowledge of the specific patient population and/ or protocol, anticipating and identifying physiological and/ or psychological problems commonly encountered including the consideration of the patient’s cultural background, level of understanding, personality and support systems. Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to transition the patient to a lower level of care as soon as medically appropriate.

ChenMed

Primary Care Physician

Responsibilities: The Payor Relations Specialist is responsible for obtaining and maintaining service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay. They will work directly with insurers, managed care organizations, and clinical staff to ensure the treatment needs of the patients are met, maximizing their overall outcomes and quality of life.

Ernest Health

Payor Relations Specialist

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.

CorVel Corp

Medical Case Manager I

Our Sales Team is growing and seeking a full-time Regional Account Manager to strengthen existing client partnerships and drive new business opportunities across the Texas & Louisiana territory . Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.

Utilization Management Nurse Jobs in Dallas, TX

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY (Orthopedists, Psychiatrists, Neurologists, Physical Medicine, Occupational Medicine) Dane Street

Clinical Compliance Auditor - Remote Guidehealth

Case Manager Encompass Health Rehabilitation Hospital of Arlington

OR Manager FT SP MANAGEMENT SERVICES INC-7V4WB

Case Manager Encompass Health Rehabilitation Hospital of Plano

Clinical Review Lead Coordinator, LPN/RN Maximus

Clinical Value Analysis Manager Children's Medical Center

Bilingual Field Case Manager Enlyte Group LLC

Clinical Review Specialist (31389) GI Alliance

Nursing Manager APLA Health & Wellness

Vice President of Clinical Services | PAM Health Corporate PAM Health Corp Business Office

Bilingual Field Case Manager Enlyte

Case Manager Encompass Health Corp.

Medical Case Manager Amtrust Financial Services Inc

Infection Control Practitioner Texas Health and Human Services Commission

Primary Care Physician ChenMed

Payor Relations Specialist Ernest Health

Case Manager Encompass Health Corp

Medical Case Manager I CorVel Corp

Regional Account Manager Ethos Risk Services

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