Search Results: 5,364 vacancies
...Department: Quality Outcomes
FTE: 1.00
Full Time
Shift: Days
Position Summary:
The Professional Practice Excellence RN Case Reviewer supports the Professional Practice Committee (PPC) through the management of data and information needed by the Committee for...
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Full time
Shift work
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Farmington, New Mexico.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~36 hours per week
~...
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Weekly pay
Holiday work
Shift work
...liability insurance
We are seeking a highly skilled and compassionate Registered Nurse (RN) to join our team as a Utilization Review Case Manager for Presbyterian Hospital. In this crucial role, you will be responsible for evaluating and managing the utilization of healthcare...
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Part time
Remote job
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...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Farmington, New Mexico.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~36...
Suggested
Weekly pay
Holiday work
Shift work
...Department: Care Management Services
FTE: 1.00Full TimeShift: Days
Position Summary:Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary,...
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Relocation
Relocation bonus
...and assists him/her in ensuring proper placement of patient.
Conducts utilization review using nationally recognized medical necessity criteria and documents the review.
Refers cases for second level reviews when medical necessity criteria are not met....
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...Overview
Join our team as a rotating shift, full-time, Case Management Acute Care Clinical Case Manager Registered Nurse in... ...recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation.
We believe healthcare is a team sport and every...
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Full time
Flexible hours
Rotating shift
...Job Description
Job Description Summary:
The Claims Reviewer will provide technical in support to the FEMA Hermit's Peak/Calf Canyon Claims Office in Sante Fe, New Mexico. This position involves receiving, evaluating, and processing claims for compensatory damages...
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Local area
...licensed beds.
POSITION SUMMARY
Directs and administers strategic, operational, fiscal and personnel activities of the Case Management department to ensure procedures adhere to standards of various accrediting and regulatory agencies. Prepares and manages...
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...every decision we make.
Job Posting Title
Physician Clinical Reviewer, MRx - Oncology - REMOTE
Job Description Summary
Key... ...the following utilization management functions:
Reviews all cases in which clinical determinations cannot be made by the Initial...
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Remote job
Work experience placement
Internship
Local area
...In collaboration with the Director of Case Management, the Nurse Manager - Utilization Management provides leadership for the care coordination department and oversees the department's daily activities. The Manager, Case Management coordinates the in Nurse Manager, Manager...
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Department: Case Management - SRMC
FTE: 0.05Casual Pool (as needed)Shift: Days
Position Summary:Coordinate all systems/services required... ..., attending in-services, meetings and workshops* VARIANCE - Review variance from standardized protocols of care with health care...
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Temporary work
Shift work
Case Manager
Plexos Group is currently seeking Case Managers to support a wildfire disaster response Program.
Case Manager is responsible for providing continuous, comprehensive case management services to survivors that were impacted by wildfires and subsequent flooding...
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Full time
Temporary work
Local area
3 days per week
1 day per week
...ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NM License.
Physician...
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For contractors
Remote job
.../hour
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge... ...identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members...
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Saturday
...organ donation and we want professionals on our team that will embrace this important work!! DCI Donor Services is seeking a Quality Review Coordinator to join our team. The Quality Review Coordinator performs ocular and tissue donor record quality assurance review in...
Temporary work
Local area
GENERAL FUNCTIONS: Takes responsibility for the development of a case management plan based on a clinical case assessment for each... ...implementation for each client, evaluates all quarterly treatment reviews and plan revisions through a formal review system and provides regular...
...Overview
Now hiring a Inpatient Case Manager
Coordinating patient care across the continuum using assessment, care planning, implementation... ...two years of recent experience in acute clinical, utilization review, or case management within the last 10 years.
* National...
Full time
Temporary work
Local area
Immediate start
Remote job
Escalations Case Manager
Description -
Uses ability as a skilled specialist to resolve customer issues while maintaining required metrics... ....
Monitor the service event through completion for compliance.
Reviews customer feedback related to customer entitlement, case...
Full time
Local area
Remote job
Relocation
Shift work
...more information about living in Santa Fe, New Mexico, please
Case Managers assist social workers and attorneys representing... ...worker with case management services, present case finding and review case records; maintaining accurate records and progress notes; and...
Full time
Temporary work
Work experience placement
Internship
Work from home
Trial period
Flexible hours
Night shift
