A company is looking for a Manager, Clinical Finance Case Management-RN.Key ResponsibilitiesOversee daily operations of Clinical Pre-Certification, Peer to Peer Clinical Appeals, and Denial AnalysisUtilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of careDevelop and implement policies, procedures, and workflows related to clinical financial case managementRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 5 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficient in Microsoft Office products and various technology applications
Clinical Finance Case Manager - RN
A company is looking for a Manager, Clinical Finance Case Management-RN. ...
Dialysis Clinical Manager Registered Nurse - RN
As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. As a Clinical Manager, you may ...
Bariatric RN Case Manager - AZ
A company is looking for a Bariatric RN Case Manager - Remote. ...
RN Case Manager - PRN - Days - Res Mgmt
The RN Case Manager provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. The RN Case Manager works c...
Field Case Manager, LTSS (RN) - IDD Population
Opportunity for a TX licensed RN to work as a Case Manager with our IDD members. Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver servi...
Case Manager RN PRN
POSITION SUMMARY: RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients. RN will also be responsible to help with the denial management process. Registered Nurse currently licensed in the State of Texas, or part of a com...
Clinical - Senior LTSS Service Care Manager (RN)
RN ( year is ideal, but manager is willing to be flexible). Education Requirement: RN Education Preferred: Software Skills Required: Computer literacy, needs to be able to work independently Required Certifications: RN Required Testing: Resource Utilization Group (RUG) certification required at time...
Certified Case Manager (RN) - Transition in Care (Medical Center - On-site)
At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated unit(s) and/or service line. Identifies when services no longer meet InterQual/Milliman l criteria, ...
Case Manager RN
POSITION SUMMARY: RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients. RN will also be responsible to help with the denial management process. Registered Nurse currently licensed in the State of Texas, or part of a com...
Complex Case Manager RN - Oncology (Remote)
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in...