- Locations: Texas, Florida, Arizona, Mississippi, Missouri
- RN Case Manager ( Home Based)
- UnitedHealth Group (Corpus Christi, TX)
- ...In short, you'll help make a huge health care system work like a personalized health care team. Position Summary: As a...operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This...
- Assistant Medical Director
- Premera (Mountlake Terrace, WA)
- ...of care (eg Skilled Nursing Facility, Hospice, Rehabilitation Facility or Home Health). 2. Performs prospective review for services requiring authorization,...business-like manner to any and all requests for professional advice from within Premera Blue Cross, from practitioners and...
- Travel and Work from Home RN
- Medical Staffing Resources (Orlando, FL)
- www.medicalstaffingresources.com RN Work from Home /Travel Case Manager Needed In Orlando A major healthcare organization seeks a...case management is a plus. Need to have ICD-9 Coding, knowledge of interqual and medical guidelines with the ability to learn a new system and...
- OB RN Field Case Manager role in Mississippi with Americhoice. This is a work from home and in the field visiting members role.
- UnitedHealth Group (Jackson, MS)
- ...RN Field Case Manager role in Mississippi with Americhoice. This is a work from home and in the field visiting...case management for all high risk member's . Apply appropriate standard criteria Milliman/ Interqual (PA only) to all clinical review received. . Refers all cases...
- OB RN Field Case Manager role in Mississippi with Americhoice. This is a work from home and in the field visiting members role.
- UnitedHealthGroup (Jackson, MS)
- ...care system. If you're ready to help make health care work better for more people, you can make a historic impact...operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This...
- RN Case Manager ( Home Based)
- UnitedHealth Group (Corpus Christi, TX)
- Title: RN Case Manager ( Home Based) Location: TX-Corpus Christi Evercare is part of the family of companies that UnitedHealth Group...all care givers. In short, you'll help make a huge health care system work like a personalized health care team. Position Summary: As a Case Manager,...
- RN Case Manager ( Home Based)
- UnitedHealth Group (Corpus Christi, TX)
- ...In short, you'll help make a huge health care system work like a personalized health care team. Position Summary: As a...operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This...
- RN Case Manager ( Home Based)
- UnitedHealth Group (Corpus Christi, TX)
- ...In short, you'll help make a huge health care system work like a personalized health care team. Position Summary: As a...operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This...
- AZ- Concurrent Review Nurse
- SCAN Healthplan (Phoenix, AZ)
- ...Responsible for discharge planning with the goal to support transition from the inpatient setting to home or to the...according to the recommended length of stay as outlined in Interqual /Apollo Criteria during hospitalization. Certify subsequent inpatient days based on recommended...
- Nurse (Admin)
- The Army Civilian Corps (Washington, DC)
- ...(ADMIN), YH-0610-02 Salary: $63,021 - $107,854 Annual Place of Work : Walter Reed Army Medical Center, Dept of Health Plan...Utilization Management Service. Conducts review of hospital admissions using InterQual Criteria for admission, continued stay, and retrospective reviews. Monitors...
- Registered Nurse-64: Case Management,Utilization Review,Concurre
- Unknown (Chicago, IL)
- ...in the greater Chicago area, however are open to candidates who would be able to work from home in a different state (will cover travel costs for orientation in Chicago). Must have Interqual Milliman experience and Epic/MIDAS a plus! Looking for RN who can do the following...
- Social Worker (Quality Improvement) - PRN - Ft. Worth, TX
- Texas Health Harris Methodist Hospital Southwest Fort Worth (Fort Worth, TX)
- ...coverage Minimum Qualifications / Requirements: - Bachelors Degree in Social Work - Licensed as a Social Worker in the state if...a Social Worker in a hospital environment - Competent with Interqual /TMF criteria - Basic computer skills Preferred Qualifications / Requirements: -...
- Field and telephonic Case Manager opportunities-Jackson, Ridgeland
- UnitedHealth Group (Jackson, MS)
- ...care system. If you're ready to help make health care work better for more people, you can make a historic impact...operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This...
- Prior Authorization Medical Clinician
- BMC HealthNet Plan (Boston, MA)
- ...Description Job Description Evaluates and approves requested services using Organizational Policies or InterQual (R) screening criteria. Manages appropriate cases that may require single services such as Home and Outpatient Service Requests for Skilled Nursing, OT, PT, DME, and Elective...