Utilization Management Nurse - Patient Case Management in Raleigh, NC for WakeMed Health & Hospitals

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Case Manager RN - Per Diem - Boulder, CO

Optum

Boulder, Colorado

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Social Worker - Health Care for Homeless Veterans Outreach

Veterans Affairs, Veterans Health Administration

Loveland, Colorado, Colorado

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Supervisory Social Worker - Housing and Urban Development/VA Supportive Housing

Veterans Affairs, Veterans Health Administration

Cleveland, Ohio, Ohio

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Case Manager RN - Remote

Optum

Laguna Hills, California

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Social Worker MSW ? Inpatient (Barnes Jewish Hospital)

BJC HealthCare

Saint Louis, Missouri

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RN Healthcare Manager - WellMed Curlew

Optum

Palm Harbor, Florida

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Telephonic Case Manager RN - Remote

Optum

Phoenix, Arizona

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Social Worker

Veterans Affairs, Veterans Health Administration

Honolulu, Hawaii, Hawaii

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Rehabilitation Counselor (HCHV Employment Case Manager)

Veterans Affairs, Veterans Health Administration

Saint Louis, Missouri, Missouri

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Family Birth Place Case manager- Social Worker

University of Maryland Medical System

Bel Air, Maryland

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Care Manager RN 1 QA

Baylor Scott & White Health

Dallas, Texas

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Telephonic Case Manager RN - Hybrid - Atlanta, GA

Optum

Atlanta, Georgia

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Care Manager RN 1 QA

Baylor Scott & White Health

Highland Park, Texas

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Clinical RN BJC Home Health Registered Nurse - St. Charles

BJC HealthCare

Saint Louis, Missouri

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Chief Financial Officer

St. Francis-Emory Healthcare

Columbus, Georgia

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Licensed Practical Nurse LPN Discharge Transit Specialist

AdventHealth

Maitland, Florida

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Care Manager II - Case Management

CHRISTUS Health

San Antonio, Texas

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RN Manager Clinical Operations Southwest Medical Durango

Optum

Las Vegas, Nevada

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Senior Social Worker (Psychosocial Rehabilitation Recovery Center)

Veterans Affairs, Veterans Health Administration

Gainesville, Florida, Florida

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PRN - NURSE CASE MANAGER

University of Maryland Medical System

La Plata, Maryland

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Senior Social Worker - Community Resource & Referral Center (CRRC)

Veterans Affairs, Veterans Health Administration

Las Vegas, Nevada, Nevada

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Case Management Assistant Case Management/ Full-Time

CHRISTUS Health

Santa Fe, New Mexico

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Blind Rehabilitation Specialist (Program Coordinator)

Veterans Affairs, Veterans Health Administration

Leavenworth, Kansas, Kansas

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Social Worker - Full Time (FT) Days - BSW or MSW Required; 2 Years Social Work Required

Mary Washington Healthcare

Fredericksburg, Virginia

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RN Case Manager Full Time

Kindred Hospitals

Denver, Colorado

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Utilization Management Nurse - Patient Case Management

OverviewResponsible for performing a comprehensive review of the medical record to assess for accuracy in the assignment of patient class (status) that is congruent with the patient's clinical condition, physician intent, medical necessity and current rules and regulatory requirements. Documents accurate and timely clinical reviews to support medical necessity and obtain payer authorization. Complies with current rules and regulatory requirements pertaining to utilization management. Communicates and collaborates with providers and members of the health care team to promote optimal, appropriate, and cost- effective utilization of resources. Identifies, addresses, and mitigates avoidable days whenever possible. Department Description

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