utilization reviews within the medical management processes. Assesses and applies medical policies and clinical guidelines... years of clinical experience and/or utilization review experience. Current active, valid and unrestricted RN license...
On Bonus LTSS Service Coordinator - Clinician this role will be working under the direction/supervision of an RN... responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management...
and Readmission reviews. We are seeking an experienced clinician with utilization management, inpatient coding, and/or clinical... in some type of clinical review such as inpatient coding, utilization management, or clinical validation Knowledge of health insurance...
within the last 2 years Managed care payor experience a plus either in Utilization Review, Case Management or Appeals Patient... Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM...
/medical experience Must have 1-2+ years Utilization Management experience; MCG criteria knowledge a plus 1 year...AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client...
Anticipated End Date: 2025-01-06 Position Title: LTSS Service Coordinator-Clinician (Case Manager - LCSW...) Job Description: LTSS Service Coordinator-Clinician (Case Manager - LCSW) $1,000 Sign On Bonus Location: Greensboro/Asheboro North...
utilization reviews within the medical management processes. Assesses and applies medical policies and clinical guidelines... years of clinical experience and/or utilization review experience. Current active, valid and unrestricted RN license...
product lines. We are seeking a Sales Clinician for our First Quality Products working remotely. This position... will be responsible for providing clinical direction and training to the customers as it applies to utilization of incontinence products...
team is comprised of Psychiatric hospitalists, RN's, CNA's, Occupational Therapists, mental health therapists, utilization... of Wisconsin professional counselor’s scope of practice, the Mental Health Clinician (Licensed) provides evaluation and treatment...
Anticipated End Date: 2025-02-28 Position Title: LTSS Service Coordinator-Clinician Job Description: LTSS Service... Coordinator - Clinician Location: Gibson, Carrol, Henry, and Weakley Counties This is a field position 4-5 days per week...
, Utilization Management, Level 1 Service Coordination, Experience in clinical program development. Software Proficiencies... for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the...
team is comprised of Psychiatric hospitalists, RN's, CNA's, Occupational Therapists, mental health therapists, utilization... of Wisconsin professional counselor’s scope of practice, the Mental Health Clinician (Licensed) provides evaluation and treatment...
with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. Decision.... Preferred Skills, Knowledge, and Experience: Previous experience with Utilization Management preferred. Computer experience...
with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. Decision.... Preferred Skills, Knowledge, and Experience: Previous experience with Utilization Management preferred. Computer experience...
, and/or disabilities, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization...Anticipated End Date: 2025-03-31 Position Title: LTSS Service Coordinator- Clinician Job Description: Location...
LICENSES/CERTIFICATIONS: RN BLS MINIMUM QUALIFICATIONS: 2 years of clinical RN experience... JOB DESCRIPTION: Competent Clinician. Possesses knowledge and skill to meet standards for competent professional nursing practice as specified...
and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN... Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure... continuity for the most appropriate level of care for patients and their benefit/resource utilization. Shift: Monday, Tuesday...
professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure... continuity for the most appropriate level of care for patients and their benefit/resource utilization. Shift: Monday, Tuesday...
professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure... continuity for the most appropriate level of care for patients and their benefit/resource utilization. Seeking Day and Night...