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Mgr Health Care Mgmnt Services- Utilization Review- Inpatient Job
- newWellPoint
- Overland Park, KSPreferred: - Bachelor's Degree in related Health/Nursing/Social Work field or Master's Deg ... Certifications or Licensures Required: - RN, PA, LSW, MSW, LPC, LCSW LMHC, or LPN/LVN - Be...
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Medical Review RN - Medicare
HP
- Chico, CAand civil monetary penalties. Medical Review Clinician position requires the ... technical requirements, performing medical review, and/or developing fraud cases *...
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Medical Claim Reviewer LPN/LVN
- newMolina Healthcare
- Troy, MIper policy/procedure. * Documents clinical review summaries, bill audit findings and ... Minimum one year Utilization Review and/or Medical Claims Review...
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Care Review Clinician II RN
has an immediate opportunity for a Care Review Clinician II RN at our Irving, TX ... Provides daily review and evaluation of members that require hospitalization and/or proced...
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Care Review Clinician III
and outpatient medical necessity/utilization review and other utilization management ... Provides daily review and evaluation of members that require hospitalization and/or proced...
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Case/Care Management Nurse - Field-Management
- newEDUCATION/EXPERIENCE: Requires current unrestricted RN license in applicable state(s) and ... a plus. Pre certification and concurrent review experience a plus! Must have excellent...
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Care Review Clinician II
- newHEALTHCARE - Care Review Clinician II - RN JOB SUMMARY Works with the Utilization ... Provides daily review and evaluation of members that require hospitalization and/or proced...
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Director Health Care Mgmt Svcs - Behavioral Health RN Job
- newWellPoint
- Hanover, MD- Bachelors Degree in related Health/Nursing field Preferred: - Master's Degree in related ... Certifications or Licensures Required: - RN (preferred),LCSW, or LPC Preferred: -...
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HEDIS Coordinator RN for Medicare/Dual Eligible Populations - Dallas Ft. Worth, TX Job
- newWellPoint
- Grand Prairie, TXHEDIS Coordinator RN for Medicare/Dual Eligible Populations - Dallas Ft ... risk management and/or utilization review in a managed care setting. Preferred:...
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RN/LPN Case Manager - Pediatric Job
- newWellPoint
- Hanover, MDRN/LPN Case Manager - Pediatric Job ID 2013-22698 # Positions 1 Location US-MD-Hanover Sea ... Associate's Degree in related Health/Nursing field Preferred - Bachelor's or Master's...
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