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Benefis Health System
Great Falls, Montana
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Gainesville, Georgia
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Gainesville, Georgia
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Braselton, Georgia
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Utilization Management Specialist - Case Management - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
University of Southern California (USC)
Los Angeles, California
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Veterans Affairs, Veterans Health Administration
Los Angeles, California
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Veterans Affairs, Veterans Health Administration
Laredo, Texas
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University of California, Berkeley
Berkeley, California
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ED Access Case Manager, Care Management, Per diem, 7pm-7:30am
The RN Access Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to coordinate admissions, transfers and repatriation to PHDH through the emergency room or direct admission. The RN Access Case Manager works closely with insurance and various payor to coordinate and assist with reparation/transfer of out-of-network patients from PHWH to the patient’s contracted facilities. The RN Access Case Manager performs utilization review with a high level of expertise by using criteria that demonstrates medical necessity to achieve authorization and reimbursement for services for the appropriate level of care and status (Inpatient, Observa
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