CareNational Healthcare Services Jobs in Allen Park

Currently, there are no CareNational Healthcare Services jobs available in Allen Park, Michigan. You may wish to explore jobs in nearby locations on the CareNational Healthcare Services jobs in Michigan page or view related jobs below.
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RN Case Manager - Hospital Tucson, AZ ** Relocation Assistance up to $10,000 to help offset costs of relocation expenses! ** Job Summary: As a member of the medical management team, the RN Case Manager works with patients, family members and outside providers to deliver intensive, comprehensive case management and increase efficient utilization of services, and ensure quality care of the patie...

FLOAT Inpatient Case Management Nurse (RN) - Accountable Care Northridge, CA *** Float position offers a mix of in-office/telephonic CM (70%) and in-person/on-site CM (30%)!! *** ** Required occasional travel to hospitals in the San Fernando Valley and sometimes northern LA** Your Job Summary: As a member of the medical management team, the RN Case Manager works with patients, family members ...

CONTRACT RN Case Manager – Managed Long Term Care Orange, CA ** This is a full-time, benefits available, CONTRACT opportunity, currently scheduled to last around 2-3 months or longer! ** Job Summary: The Nurse Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services. They identify chronic or ca...

Float Post-Discharge Case Management RN - Managed Care Beverly Hills, CA Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome. The primary responsibility of the Nurse Case Manager is t...

Quality Improvement & HEDIS Manager - Managed Care Van Nuys, CA *** This is a Full Time, Direct Hire / Permanent opportunity! *** Your Job Summary: The Quality Improvement & HEDIS Manager is an integral part of the team serving as the clinical subject matter expert and primary contact to internal and external stakeholders in all matters related to Quality Improvement programs tied to Pay for P...

CONTRACT-TO-HIRE Case Management Nurse (RN) - Managed Care Westminster, CA ** Full Time, Benefits Available, CONTRACT-TO-HIRE position, expected to convert to a Permanent/ Direct Hire position after several months. ** Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s condition and prov...

CONTRACT-TO-HIRE Case Management Nurse (RN) - Managed Care Van Nuys, CA ** Full Time, Benefits Available, CONTRACT-TO-HIRE position, expected to convert to a Permanent/ Direct Hire position after several months. ** Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s condition and providi...

RN Manager of Medical Management (UM/CM) - Managed Care Phoenix, AZ Your Job Summary: The role of the Manager of Medical Management (Utilization & Case Management) is to promote the quality and cost effectiveness of utilization management (prior authorization and concurrent review) functions while simultaneously supervising the medical case management process to ensure member support and effect...

RN Manager of Inpatient Case Management - Managed Care Northridge, CA Job Summary: Manager of Case Management provides clinical leadership for all Health Care Services programs by serving as an educator, role model, member advocate, and change agent to enhance member care and staff competency. The Manager collaborates with other departments (including Clinical Staff, Administration, Directors, ...

Manager of Quality Improvement - Managed Care South Seattle, WA *** Open to clinical and non-clinical healthcare professionals! *** Your Job Summary: The Manager of Quality Improvement is responsible for developing, coordinating, and implementing quality initiatives within the health plan. The Manager ensures that the health plan and its contracted network provide members with appropriate and ...

Quality Improvement / Medical Record Review RN - Managed Care Albany, NY ** Split work setting, with 80% in-office, and 20% in the field. Must be willing and able to travel in area, as needed. ** Your Job Summary: The Quality Improvement Medical Record Reviewer will facilitate and work collaboratively with healthcare provider groups to guide, recommend and develop practice specific strategies ...

Quality Improvement Internal Audit Nurse (RN) - Managed Care Buffalo, NY Your Job Summary: The Quality Improvement Internal Audit Nurse will facilitate and work collaboratively with internal Utilization Management and Utilization Review teams to train, guide, recommend, and develop practice specific strategies designed to improve all aspects of quality. Perform oversight of UM department t in c...

Supervisor of Utilization Management (RN, BS/BA) - Managed Care Buffalo, NY Your Job Summary: The Utilization Management Supervisor supports the Manager in overseeing the day-to day operations of the UM staff to ensure all contract requirements and business initiatives are completed successfully and timely. The role of Utilization Management Supervisor is to promote the quality and cost effecti...

Utilization Review RN - Managed Care Buffalo, NY Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guideline...

Complex Case Management Nurse (RN) - Managed Care New Bedford, MA Your Job Summary: As a member of the medical management team, the Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services; identifies chronic or catastrophic cases through the case management process and initiates intensiv...

Case Management (RN) - Managed Long Term Care Manchester, NH Your Job Summary: As a member of the medical management team, the Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome. The primary responsibility of the Case Manager is to coordinate and monitor...

Complex Case Management Nurse (RN) - Managed Care Manchester, NH Your Job Summary: As a member of the medical management team, the Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services; identifies chronic or catastrophic cases through the case management process and initiates intensive...

Complex Case Management Nurse (RN) - Managed Care Boston, MA Your Job Summary: As a member of the medical management team, the Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services; identifies chronic or catastrophic cases through the case management process and initiates intensive cas...

RN Supervisor of Appeals & Grievances – Managed Care Baltimore, MD Your Job Summary: The RN Supervisor of Appeals & Grievances supports the organization by working to resolve provider payment disputes. The Supervisor provides oversight for advanced and complicated case review for the appropriateness of medical care requiring considerable clinical judgment, independent analysis, and detailed kno...

RN Manager of Utilization Management - Medicare Managed Care Baltimore, MD Your Job Summary: The role of the RN Manager of Utilization Management is to promote the quality and cost effectiveness of prior authorization and concurrent review functions. This person is responsible for management and oversight of daily managerial operations pertaining to utilization management; including but not lim...