Talent.com
Ohio Licensed Patient Care Manager

Ohio Licensed Patient Care Manager

VirtualVocationsMontgomery, Alabama, United States
job_description.job_card.1_day_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 • Montgomery, Alabama, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Oklahoma Licensed Care Manager

Oklahoma Licensed Care Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Kentucky Licensed Care Manager

Kentucky Licensed Care Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager (RN) to develop and facilitate care management activities for members with physical needs. Key Responsibilities Evaluate member needs and recommend care pla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
New York Licensed Care Manager

New York Licensed Care Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager to plan and manage behavioral and physical care for members.Key Responsibilities Advocates and educates members on services and self-management techniques ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Maryland Licensed Telehealth Provider

Maryland Licensed Telehealth Provider

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a PRN Advanced Practice Provider in On-Demand Telehealth.Key Responsibilities Conduct on-demand acute patient visits via the eVisit platform Provide coverage for schedul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel LPN / LVN - Long-Term Care - $905 to $1,205 per week in Elmore, AL

Travel LPN / LVN - Long-Term Care - $905 to $1,205 per week in Elmore, AL

TravelNurseSourceElmore, AL, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Wayward Medical Staffing to find a qualified Long-Term Care LPN / LVN in Elmore, Alabama, 36025!. Wayward Medical : Because You’re More Than a Chart Number.At Waywar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Pharmacy Manager

Texas Licensed Clinical Pharmacy Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Clinical Pharmacy Programs to join their Pharmacy team.Key Responsibilities Oversee clinical pharmacy programs and manage affordability projects Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel LPN / LVN - $1,024 to $1,136 per week in Elmore, AL

Travel LPN / LVN - $1,024 to $1,136 per week in Elmore, AL

TravelNurseSourceElmore, AL, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified Other LPN / LVN in Elmore, Alabama, 36025!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Manager, Care Services

Senior Manager, Care Services

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Manager, Site of Care Services.Key Responsibilities Collaborate with ACO partners to design and refine care pathways to enhance patient outcomes Analyze post-ac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,504 to $1,736 per week in Greensboro, AL

Travel Physical Therapist (PT) - $1,504 to $1,736 per week in Greensboro, AL

AlliedTravelCareersMontgomery, Alabama, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with National Staffing Solutions to find a qualified Physical Therapist (PT) in Greensboro, Alabama, 36744!. Details of the PT opening in Greensboro, AL : .Anticipated S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Georgia Licensed Clinical Pharmacy Manager

Georgia Licensed Clinical Pharmacy Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Clinical Pharmacy Programs to oversee and manage clinical pharmacy initiatives.Key Responsibilities Provide insights and recommendations for trend management...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Clinical Nurse Director

Texas Licensed Clinical Nurse Director

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Arizona Licensed Clinical Service Representative

Arizona Licensed Clinical Service Representative

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Service Representative who will provide professional phone assistance and support prior authorization processes. Key Responsibilities Handle inbound calls from ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Washington Licensed RN Care Coordinator

Washington Licensed RN Care Coordinator

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Virtual RN Care Coordinator.Key Responsibilities Coordinate patient care and create action plans for senior health patients Manage patient calls, triage needs, and add...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Care Manager

Pennsylvania Licensed Care Manager

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager.Key Responsibilities Conduct telephone assessments to determine care coordination and management needs Develop care plans to help members achieve optimal ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Greensboro, AL

Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Greensboro, AL

AlliedTravelCareersMontgomery, Alabama, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with CompHealth to find a qualified Physical Therapist (PT) in Greensboro, Alabama, 36744!. When it comes to finding the perfect locums assignment, sometimes it is all...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Care Management Supervisor

Licensed Care Management Supervisor

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor, Care Management to oversee the care management team and coordinate care for behavioral health members. Key Responsibilities Supervises the care management te...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocationsMontgomery, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours