Talent.com
Ohio Licensed Patient Care Manager
Ohio Licensed Patient Care ManagerVirtualVocations • Southport, Indiana, United States
serp_jobs.error_messages.no_longer_accepting
Ohio Licensed Patient Care Manager

Ohio Licensed Patient Care Manager

VirtualVocations • Southport, Indiana, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Patient Care Resource Manager - Retrospective Review.

Key Responsibilities

Conduct retrospective reviews of medical services to assess medical necessity and compliance with guidelines

Support the Utilization Management team with prior authorizations and concurrent reviews

Analyze claims data to identify trends and develop action plans for process improvements

Required Qualifications

Bachelor's degree in nursing and a current Ohio Registered Nurse license

Minimum of three years' experience in a clinical setting, with a focus on utilization or case management

Knowledge of managed health care concepts and experience with national guidelines (e.g., MCG)

Proficiency in Microsoft Office applications and electronic health records

Strong understanding of HIPAA regulations and compliance requirements

serp_jobs.job_alerts.create_a_job

Patient Care Manager • Southport, Indiana, United States

Job_description.internal_linking.related_jobs
Missouri Licensed Pediatric Care Manager

Missouri Licensed Pediatric Care Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager (RN) PEDS.Key Responsibilities Evaluate member needs and recommend care plans to address barriers to accessing appropriate care Develop and collaborate on...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Florida Licensed Nurse Case Manager

Florida Licensed Nurse Case Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Telephonic Nurse Case Manager to manage medical claims and coordinate care for injured workers. Key Responsibilities Provide telephonic case management in a Workers' Com...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Compact Licensed Case Manager RN

Compact Licensed Case Manager RN

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Pediatric and Adult Case Manager - Registered Nurse - Remote - Telehealth.Key Responsibilities Assess, plan, implement, and coordinate case management activities to eva...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel RN Case Manager

Travel RN Case Manager

Zack Group • Indianapolis, IN, US
serp_jobs.job_card.permanent
Zack Group is seeking a travel nurse RN Care Manager for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements. Case Manager RN’s for positions in Indianapolis, Indi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Missouri Licensed Care Manager

Missouri Licensed Care Manager

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager, LPN.Key Responsibilities Deliver telephonic care management and develop patient-centered care plans Support quality gap closure and coordinate patient vi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Case Manager Nurse

Texas Licensed Case Manager Nurse

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse II - Case Manager.Key Responsibilities Manage continuity of care for beneficiary populations through comprehensive assessments and care planning Coord...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
New York Licensed RN Case Manager

New York Licensed RN Case Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate care for patients, ensuring adherence to care plans Conduct health-related assessments and facilitate ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Patient Access Manager

Patient Access Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Patient Access to lead and grow their Patient Care Representatives.Key Responsibilities Lead, coach, and develop a high-performing Patient Access team to deliv...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Senior Care Manager

Senior Care Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.temporary
Care Manager for a short-term contract in Patient Support Services (Remote).Key Responsibilities Perform outbound calls to obtain eligibility information and document accurately Assist patients ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel RN Case Manager

Travel RN Case Manager

Assured Nursing • Indianapolis, IN, US
serp_jobs.job_card.full_time
Assured Nursing is seeking a travel nurse RN Care Manager for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements. Acute care CM experience in hospital setting required....serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Case Manager - $1,826 to $1,883 per week in Indianapolis, IN

Travel Nurse RN - Case Manager - $1,826 to $1,883 per week in Indianapolis, IN

TravelNurseSource • Indianapolis, IN, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Pioneer Healthcare Services to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!. If you want to make a significant impact as a.Registered Nurse - C...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Kentucky Licensed RN QA Manager

Kentucky Licensed RN QA Manager

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an RN Quality Assurance Manager.Key Responsibilities Lead the development and execution of the clinical quality assurance program, including chart audits and provider fee...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Kentucky Licensed Care Management Supervisor

Kentucky Licensed Care Management Supervisor

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor, Care Management (RN).Key Responsibilities Supervises the care management team and oversees care management delivery to ensure quality and compliance Assign...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
California Licensed Clinical Case Manager

California Licensed Clinical Case Manager

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an Out of Network (OON) Clinical Case Manager (CM) - Remote (CA Only) - Per diem - Variable.Key Responsibilities Coordinate quality healthcare services in out of network ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Missouri Licensed Account Manager

Missouri Licensed Account Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for an Account Manager - Employee Benefits.Key Responsibilities Coordinate the placement and service of employee benefits for clients Manage communications regarding benefit...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Georgia Licensed Clinical Policy Manager

Georgia Licensed Clinical Policy Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets for compliance with internal and external medical standards...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Patient Care Director

State Licensed Patient Care Director

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Director, Patient Care to lead and evolve their Care Navigation and Clinical teams.Key Responsibilities Lead and develop a high-performing Patient Care organization Es...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Pennsylvania Licensed Client Manager

Pennsylvania Licensed Client Manager

VirtualVocations • Indianapolis, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Client Manager.Key Responsibilities Manage and maintain relationships with existing commercial insurance clients Review and analyze insurance policies to ensure approp...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Iowa Licensed Care Manager, LPN

Iowa Licensed Care Manager, LPN

VirtualVocations • Southport, Indiana, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager, LPN.Key Responsibilities Deliver telephonic care management for patients enrolled in Value-Based Care Programs Review electronic health records to identi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted