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PIH Health Logo
Case Manager, LVN, SNF
PIH Health

Whittier, California

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Case Manager
Cardinal Health

United States - Nationwide

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Duke University Health System Logo
Case Manager-Cardiothoracic Surgery
Duke University Health System

Durham, North Carolina

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Case Manager
Cardinal Health

United States - Nationwide

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Veterans Affairs, Veterans Health Administration Logo
Senior Social Worker - Behavioral Health Interdisciplinary Program (BHIP) Case Manager
Veterans Affairs, Veterans Health Administration

Roseburg, Oregon

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CHRISTUS Health Logo
Care Manager II - Case Management
CHRISTUS Health

San Antonio, Texas

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Case Manager
Cardinal Health

United States - Nationwide

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CHRISTUS Health Logo
Care Management Assistant - Case Management
CHRISTUS Health

San Antonio, Texas

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Columbia University Logo
Case Manager, Disability Services
Columbia University

New York, New York

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AdventHealth Logo
Registered Nurse RN Case Manager
AdventHealth

Kissimmee, Florida

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Duke University Health System Logo
Case Manager-Float
Duke University Health System

Durham, North Carolina

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Phoenix Children's Logo
Case Manager
Phoenix Children's

Phoenix, Arizona

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CHRISTUS Health Logo
Care Manager II - Case Management
CHRISTUS Health

San Antonio, Texas

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Veterans Affairs, Veterans Health Administration Logo
Senior Social Worker (SSVF SUD Case Manager)
Veterans Affairs, Veterans Health Administration

Nashville, Tennessee

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Benefis Health System Logo
Community Care Social Worker/Case Manager
Benefis Health System

Billings, Montana

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CHRISTUS Health Logo
Case Manager / Case Management / Full-time
CHRISTUS Health

Santa Fe, New Mexico

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AdventHealth Logo
RN Case Manager Resident Family Medicine Outpatient Center
AdventHealth

Hinsdale, Illinois

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AdventHealth Logo
Registered Nurse Case Manager
AdventHealth

Temple Terrace, Florida

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AdventHealth Logo
Registered Nurse Case Manager
AdventHealth

Dade City, Florida

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PIH Health Logo
Case Manager, Registered Nurse (RN), or License Vocational Nurse (LVN) Per diem, days
PIH Health

Downey, California

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Benefis Health System Logo
Community Care Nurse Case Manager
Benefis Health System

Kalispell, Montana

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CHRISTUS Health Logo
Emergency Department Care Manager - Case Management
CHRISTUS Health

Corpus Christi, Texas

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WakeMed Health & Hospitals Logo
Case Manager/Social Worker, MSW - Patient Case Management
WakeMed Health & Hospitals

Raleigh, North Carolina

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CHRISTUS Health Logo
Case Manager / Case Management / Part-time
CHRISTUS Health

Santa Fe, New Mexico

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UCLA Logo
RN Case Manager, Per Diem
UCLA

Los Angeles, California

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Utilization Management Nurse - Patient Case Management
OverviewResponsible for performing a comprehensive review of the medical record to assess for accuracy in the assignment of patient class (status) that is congruent with the patient's clinical condition, physician intent, medical necessity and current rules and regulatory requirements. Documents accurate and timely clinical reviews to support medical necessity and obtain payer authorization. Complies with current rules and regulatory requirements pertaining to utilization management. Communicates and collaborates with providers and members of the health care team to promote optimal, appropriate, and cost- effective utilization of resources. Identifies, addresses, and mitigates avoidable days whenever possible. Department Description


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