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Concurrent Review Coord jobs

Viewing 1 - 10 of 6,879 jobs

  • Concurrent Review Case Manager

    Lumeris - Maryland Heights, MO

    their talents. The Case Manager - Concurrent Review conducts the clinical review of observation and inpatient ... Advantage plan. The Case Manager - Concurrent Review performs discharge planning/coordinating with inpatient case...

    4 days ago from Lumeris

  • Manager Care Coordination and Social Work - LCSW

    St. Mary Medical Center Long Beach - Long Beach, CA

    practice in medical necessity determination and concurrent review. This position, in collaboration with the Department ... care coordination, discharge planning, utilization review and social work interventions resulting in quality...

    5 days ago from St. Mary Medical Center Long Beach

  • Director of Care Coordination (Case Management, Full Time Day)

    St. John's Regional Medical Center Oxnard - Oxnard, CA

    practice in medical necessity determination and concurrent review. Qualifications: * California Registered Nurse ... review requirements, and general commercial admission and review requirements * Working knowledge of Interqual...

    5 days ago from St. John's Regional Medical Center Oxnard

  • Manager - Revenue Cycle Care Coordination

    UCLA Health - Los Angeles, CA

    of laws, rules and regulations regarding utilization review of government programs such as Medicare, Medi-Cal, ... governing third party reimbursement or the medical review agency. Ability to design and/or implement data...

    3 days ago from UCLA Health

  • Utilization Review Nurse

    Novant Health - Stokesdale, NC

    Review RN serves as a leader resource in the utilization review process. They collaborate with physicians and other ... Utilization Review RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All...

    5 days ago from Novant Health

  • IE MGR Care Coordination-Social Workers

    St. Bernardine Medical Center - San Bernardino, CA

    and best practice in medical necessity determination and concurrent review. This position, in collaboration with the ... care coordination, discharge planning, utilization review and social work interventions resulting in quality...

    5 days ago from St. Bernardine Medical Center

  • Manager - Care Coordination (Resource Center)

    UCLA Health - Los Angeles, CA

    of laws, rules and regulations regarding utilization review of government programs such as Medicare, Medi-Cal, ... governing third party reimbursement or the medical review agency. Ability to design and/or implement data...

    14 days ago from UCLA Health

  • Physician Advisor Care Coordination

    Mercy General Hospital - Sacramento, CA

    Advisor is responsible for the timely prospective, concurrent, peer to peer or retrospective review of resource use ... colleagues regarding best practices, the utilization review process, regulatory issues, use of clinical guidelines...

    5 days ago from Mercy General Hospital

  • Clinical Care Reviewer, Utilization Management, Registered Nurse

    AmeriHealth Caritas - Philadelphia, PA

    defined by specific UM role (Prior Authorization, Concurrent Review) * Submits appropriate documentation/clinical ... * Experience with Utilization Review and/or Prior Authorization...

    6 days ago from AmeriHealth Caritas

  • Clinical Denial Review Coordinator

    South Nassau Communities Hospital - Oceanside, NY

    Clinical Denial Review Coordinator Department: Patient Financial Services Schedule: Full-Time Shift: Days (Shift 1) ... of the facility. Position Responsibilities: The Denial Review Coordinator is accountable for the management and...

    12 days ago from Nurse.com