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Medical Director, Utilization Management - Concurrent Review
Blue Shield of California
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El Dorado Hills, CA, 95762
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization ... - May 08
RN-Utilization Review
Ascension
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Indianapolis, IN, 46260
Details Department: Utilization Management Schedule: Monday-Friday 8.00am-5.00pm EST with rotating weekends and holidays ... Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of ... - May 08
Travel Nurse RN - Utilization Review - per week
Sharp Medical Staffing
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Tuba City, AZ, 86045
65.5 per hour
Sharp Medical Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Tuba City, Arizona. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week ... - Apr 28
Utilization Review Coordinator
Umpqua Health
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Roseburg, OR, 97470
65000-70000 per year
... You’ll use a combination of clinical judgment, regulatory knowledge, and system navigation skills to manage utilization ... Identify members who may benefit from case management or care coordination and make appropriate referrals to internal teams. ... - May 08
Utilization Documentation Manager, Case Management
Self Regional Healthcare
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Greenwood, SC, 29648
... degree in health-related field with 5 years of acute care experience • Knowledge of Case Management as demonstrated by 1-3 years Case Management, Utilization Management or Quality Management practice • National certification • Knowledge of ... - May 07
RN-Case Management
Wilson Medical Center
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Zebulon, NC, 27597
... The Case Manager integrates the roles of Utilization Management, Case Management and Discharge Planning. The Case Manager is responsible for care coordination and development of the discharge plan through collaboration with the healthcare team and ... - May 06
RN-Case Management
Wilson Medical Center
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Rocky Mount, NC, 27804
... The Case Manager integrates the roles of Utilization Management, Case Management and Discharge Planning. The Case Manager is responsible for care coordination and development of the discharge plan through collaboration with the healthcare team and ... - May 05
Medical Director- Utilization Management
AnMed Health
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Anderson, SC, 29622
The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization Management programs at AnMed. The Medical Director ensures the program and associated physicians work ... - May 05
Director, Commercial Utilization Management
Blue Shield of California
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Rancho Cordova, CA, 95741
... Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California (BSC) and the Utilization Management (UM) department in realizing its goals and objectives. This ... - May 08
RN-Case Management
Wilson Medical Center
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Fremont, NC, 27830
... The Case Manager integrates the roles of Utilization Management, Case Management and Discharge Planning. The Case Manager is responsible for care coordination and development of the discharge plan through collaboration with the healthcare team and ... - May 08