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Medical Management Coordinator Rn Jobs

Medical Lead Rn Jobs
By Nascentia Health At Syracuse, NY, United States

THIS POSITION IS ELIGIBLE FOR A $15,000 SIGN-ON BONUS *** As a Mobile Acute Care RN Team Leader, you will play a pivotal role in transforming the way healthcare is delivered, reaching patients ...

Medical Management Coordinator Jobs
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
Follow protocols to task requests appropriately by checking procedure codes against notification requirements and benefit coverage to determine next steps.
Point of contact for providers regarding medical/behavioral/clinical services or benefits. Including (e-g notification, authorization).
Receive calls requesting medical/clinical services or benefits information, respond to and transfer calls to appropriate individuals, warm transfer if applicable.
2 years + experience preferred
Extract and review fax requests for medical or clinical services requests.
Gather information to understand requests based on urgency.
Fetal Rn Coordinator Jobs
By Ann & Robert H. Lurie Children's Hospital of Chicago At Streeterville, IL, United States
Minimum of 3 years relevant clinical experience, preferably in case management.
Excellent organizational skills, including ability to effectively manage multiple competing responsibilities.
Provides expert care coordination, education, consultation and advocacy.
Works collaboratively with the clinical case manager, social work, outside agencies and families to coordinate care of the complex patient.
Other job functions as assigned. Minimum Qualifications:
Previous successful experience in new program development, coordination, and marketing.
Rn: Nephrology/ General Medical
By Roper St. Francis Healthcare At Charleston, SC, United States

Job Summary To provide nursing care for patients following established standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and ...

Rn Coordinator Jobs
By SALEM REGIONAL MEDICAL CENTER At Salem, OH, United States
Must have current certification in BLS, ACLS, and EKG interpretation.
Must have current ICU/Tower 1 experience.
UP TO A $5,000 SIGN-ON BONUS!
403(b) retirement with employer matching
SRMC Has an Exciting Opportunity for Qualified Candidates!
Service Coordinator (Rn) Jobs
By University Health At San Antonio, TX, United States

12238 Silicon Drive Nursing Evening Shift POSITION SUMMARY/RESPONSIBIILITIES The Service Coordinator - Registered Nurse provides STAR Kids Members with initial and ongoing assistance by identifying, ...

Rn Utilization Coordinator, Denver Health Medical Plan
By Denver Health At , Denver, 80204, Co $76,900 - $115,400 a year
1-3 years clinical experience in a hospital, acute care, home health/hospice, direct care or case management required.
1-3 years experience in care coordination or case management required.
Knowledge and understanding of case management/coordination of care principles, programs, and processes in either a hospital or outpatient healthcare environment.
Prefer experience in health plan case management, care coordination, or member navigation.
Home care/field based case management experience.
Support and collaborate with the UM and CM Managers and Supervisors in the implementation and management of UM/CM activities
Director Of Medical Case Management - Rn
By Presbyterian Healthcare Services At , Albuquerque, 87106, Nm
Minimum 3-5 years of inpatient case management leadership experience and/or acute care nursing leadership experience.
Prior case management leadership experience (at Manager level or above) is required.
Contributes to, mentors and coaches ongoing education and professional development of case management department and acts as a resource for staff.
Maintains current knowledge of information in case management and related fields through seminars, workshops and publications.
Partners with the case management physician advisor (medical director) and fosters an effective relationship with physicians and ancillary team members.
Partners with ICS leadership, clinical directors, business office and PHP leadership to foster case management at an organizational level.
Recl Quality Management Coordinator (Rn)
By US Veterans Health Administration At , Houston, 77030, Tx $79,562 - $150,787 a year
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Medical Assistant / Health Management Coordinator - Ahn Neurosurgery - Washington
By Highmark Health At Allegheny, PA, United States
2 years of clerical support, insurance verification and registration experience in a medical office setting or equivalent education
Supports front office including registration, chart preparation, insurance verifications, precertification, and billing functions. (15%)
Coordinates and oversees clerical and clinical functions. (20%)
Screens and directs telephone calls as appropriate. Takes appropriate actions and responds to internal and external customer inquiries. (20%)
Orders and tracks inventory of operational and clinical items. (5%)
Performs other duties as assigned or required.
Medical Management Coordinator-Government Programs
By Blue Cross and Blue Shield of Kansas City At United States
Other specialized knowledge and skills preferred include HIPAA requirements; UM denial/appeals specifications; NCQA, URAC, and state and federal UM requirements.
Competitive benefits package with day one eligibility
Experience researching, summarizing, and communicating detailed information and analysis
Intermediate knowledge of and ability to use Microsoft Office applications.
Some Of Our Offerings Include
Employer covers 90% of monthly premium cost for health, dental and vision plans
Rn - Medical Specialties
By Cambridge Health Alliance At , Somerville, Ma

Location: CHA Somerville Campus Work Days: varied Category: Registered Nurse Department: Medical Specialties Clinic at CHA Somerville Campus Job Type: Part Time Work Shift: Day / Evening ...

Medical Management Coordinator Rn
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
Identifies members who could benefit from care management and refers to the appropriate care manager.
At least 2 years of experience with pre-authorization, utilization review/management, case management, care coordination, and/or discharge planning.
Clearly and succinctly documents necessary and/or required information in Utilization Management system.
May identify workflow and systems improvements to enhance Utilization Management’s ability to monitor, document and improve key department performance indicators.
Uses Utilization Management system platform with proficiency.
Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient service requests.