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Keywords: RN - Utilization Review, Location: Philadelphia, PA

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UTILIZATION MANAGEMENT COORDINATOR - PRN/On-call

with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...

Posted Date: 27 Sep 2024

UTILIZATION MANAGEMENT COORDINATOR - FULL TIME

with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...

Posted Date: 26 Sep 2024

UTILIZATION MANAGEMENT COORDINATOR - FULL TIME

with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...

Posted Date: 26 Sep 2024

RN - Case Management

. Need to know: UM RN - PA License. **No LPN candidates. Utilization RN who handles hospital reviews. Insurance carrier...Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical...

Company: GHR Healthcare
Location: Philadelphia, PA
Posted Date: 17 Oct 2024

LPN or RN Nurse Case Manager (Onsite at Providers Office)Philadelphia, PA

ability. Organizational skills. Typing and computer knowledge- able to type 35WPM. Knowledge of utilization review requirements... environment, case-management, or utilization management position (experience can be a combination of LVN/RN licensure) Previous...

Company: Cigna
Location: Philadelphia, PA
Posted Date: 11 Oct 2024
Salary: $68700 - 114500 per year

LPN or RN Nurse Case Manager (Onsite at Providers Office)Philadelphia, PA

ability. Organizational skills. Typing and computer knowledge- able to type 35WPM. Knowledge of utilization review requirements... environment, case-management, or utilization management position (experience can be a combination of LVN/RN licensure) Previous...

Company: The Cigna Group
Location: Philadelphia, PA
Posted Date: 10 Oct 2024
Salary: $68700 - 114500 per year

Clinical Program Director (RN Required)

. Manages costs through appropriate utilization and management of labor and supply across the wound care continuum. Works.... The CPD partners with the for review of clinical practice. As needed, serves as case manager to a group of wound care...

Company: Healogics
Location: Philadelphia, PA
Posted Date: 21 Sep 2024
Salary: $98437.5 - 127312.5 per year

Embedded Transitional Care Manager - Philadelphia Area

Description Company: Oak Street Health Title: Transitional Care Manager, RN Multiple Locations: University...-based approach to providing outstanding patient care. Transitional Care Manager - RN (TCM-RN) is an integral part of the...

Location: Philadelphia, PA
Posted Date: 10 Nov 2024

zzz. 12/1/24 Resource Case Manager

continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies... and cost effectiveness through the integration of functions of case management, utilization review and management...

Posted Date: 10 Nov 2024

QA Registered Nurse

Overview: The QA RN assists with day-to-day operational oversight of the Agency’s skilled clinical programs, OASIS... submission and review, documentation review, intake processes, pre/post billing, and DMAS paperwork review. Mentors staff...

Posted Date: 12 Oct 2024

QA Registered Nurse

Overview: The QA RN assists with day-to-day operational oversight of the Agency’s skilled clinical programs, OASIS... submission and review, documentation review, intake processes, pre/post billing, and DMAS paperwork review. Mentors staff...

Posted Date: 11 Oct 2024

Telephonic Case Manager I

orthopedics, neurology, or rehabilitation preferred. Strong cost containment background, such as utilization review or managed... & EXPERIENCE: Graduate of accredited school of nursing. RN license required in PA Additional RN licenses beneficial...

Company: CorVel
Location: Philadelphia, PA
Posted Date: 29 Aug 2024
Salary: $60846 - 90940 per year