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
Travel Nurse RN - Case Manager - $2,600 per week in Marietta, GA
TravelNurseSource is working with Medical Talent to find a qualified Case Manager RN in Marietta, Georgia, 30060!. Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Mini...
Complex Care Case Manager RN
A company is looking for a Complex Care Case Manager, RN for their Workers Compensation managed care team. ...
Travel Nurse RN - Case Manager - $2,600 per week in Marietta, GA
TravelNurseSource is working with Medical Talent to find a qualified Case Manager RN in Marietta, Georgia, 30060!. Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Mini...
Bilingual Spanish RN Case Manager
A company is looking for a Bilingual Spanish Telehealth RN Case Manager for their Special Needs Program in California. ...
Staff - Registered Nurse (rn) - Case Manager, Hospice - $75k+ Per Year
LHC Group is seeking a Registered Nurse (RN) Case Manager, Hospice for a nursing job in Augusta, Georgia. Posted job title: Rn Case Manager (Hospice). We are hiring for a Registered Nurse case Manager. Current RN licensure in the state of practice and one year of clinical experience. ...
Hospice RN Case Manager (Gwinnett, Georgia)
As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patien...
RN, Inpatient Case Manager, On-Call, Emory Saint Josephs
The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, co...
RN Clinical Manager, Home Health - Cumming, GA
Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. Interprets Company standards and Company policies and proce...
RN Case Manager Outpatient - Paulding
As a member of the Population Health Management (PHM) Team, the Outpatient Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services for patient with complex needs; identifies chronic, complex and or c...
Travel RN - Case Manager job available in Marietta, GA - Make $2,614wk
Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Marietta, GA. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us k...