CareNational Healthcare Services Jobs in Minnesota

Currently, there are no CareNational Healthcare Services jobs available in Minnesota. You may wish to explore other locations on the CareNational Healthcare Services jobs page or view related jobs below.
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RN Manager of HEDIS - Managed Care Sacramento, CA Job Summary: In this full-time regular position, the Manager of HEDIS will support the Quality Improvement department in HEDIS and other Quality Improvement projects. HEDIS duties include oversight of medical record review done by chart reviewers, data accuracy and reporting, and interacting with HEDIS auditors for regulatory compliance accordin...
Disease Management / Population Health Nurse (RN) - Managed Care South Seattle, WA Job Summary: As a member of the medical management team, the Disease Management RN plays an integral part in monitoring and assessing ongoing member health risks in real time and providing members with the tools and resources necessary to better manage medical conditions and make behavioral changes. The primary r...
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...
RN Delegation Oversight Program Manager - Managed Care Seattle, WA Job Summary: The RN Delegation Oversight Program Manager will interact with all levels of management, internal and external customers such as vendors, providers, government officials, accrediting agencies and subordinate provider network. Perform oversight of provider organizations in compliance with federal, state and NCQA requ...
Utilization Review Nurse (RN or LPN) – Managed Care South Seattle, WA Job Summary: As a Utilization Review Nurse you will utilize your clinical skills to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost-effective care for health plan members that are hospitalized in acute, skilled and long term care settings. You will telephonically ...
Field Geriatric Case Management Social Worker - Managed Long Term Care Multiple opportunities in each of the following Florida counties: Pinellas County, Sarasota County, Manatee County, Charlotte County, St. Lucie County, Martin County, Broward County *** This is a Field Case Management position, based out of a home office, with travel to ALC/LTC/Hospice facilities and member homes around assi...
Complex Case Management Nurse (RN or LVN) - Managed Care San Fernando Valley, CA Job Summary: As a member of the medical management team, 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 in...
Quality Improvement Nurse (RN or LPN) – Managed Care Milwaukee, WI Job Summary: The Quality Improvement Nurse performs all aspects of the Quality Improvement Program, including any related activities, objectives, and analysis with minimal supervision from the Director of QI. The Quality Improvement Nurse will analyze medical charts, trend lines and applicable transparency websites in order to d...
CONTRACT Senior Nurse Case Manager (RN, BSN) - Managed Care Atlanta, GA ** This is a full-time, benefits available, CONTRACT opportunity, expected to last 6 months or longer! ** 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, a...
Clinical Documentation Improvement (CDI) RN - Hospital Beverly Hills, CA ** Relocation Assistance available to help offset costs of relocation expenses! ** Job Summary: The Clinical Documentation Improvement (CDI) RN is responsible for ensuring the overall quality and completeness of clinical documentation. This role ensures that clinical severity is accurately and appropriately captured for t...
RN or LCSW Case Manager – Behavioral Health Managed Care Sacramento, CA Job Summary: As a member of the medical management team, the Behavioral Health 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 initiat...
CONTRACT Complex Case Management RN - Managed Care Ontario, CA ** This is a Full-Time, Benefits Available, CONTRACT opportunity, scheduled to last several months, or longer! ** Job Summary: As a member of the medical management team, Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of servic...
Nurse Case Manager (RN) - Managed Care Long Beach, CA 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 to coordinate and monitor...
RN Supervisor of Transitional Case Management - Managed Care Long Beach, CA Job Summary: The RN Supervisor of Transitional Case Management is responsible for ensuring the case management department is safely and effectively transitioning members from acute or inpatient care to lower levels of care, or return to their home, in a cost efficient manner. Provides assessment, planning, implementatio...
Prior Authorizations Nurse (RN or LVN) - Managed Care Orange, CA Job Summary: The role of the Prior Authorization Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. Under the direction of the Prior Authorizations Supervisor, the Prior Aut...
Nurse Complex Case Manager (RN) - Managed Care Orange, CA Job Summary: As a member of the medical management team, 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 case management...
Quality Improvement & Facility Site Review RN or LCSW – Managed Care Sacramento, CA Job Summary: The Quality Improvement & Facility Site Review (FSR) specialist leads specific aspects of the Quality Improvement Program, by performing medical record audits, monitoring and analyzing clinical documentation, and modifying business processes to measure member outcomes. The Quality Review specialist ...
Inpatient Nurse Case Manager (RN) - Managed Care Mission Hills, CA 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 to coordinat...
Nurse Case Manager (RN) - Managed Care Milwaukee, WI 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 to coordinate and monitor ...
Utilization Review Nurse (RN) - Managed Care Santa Monica, CA 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 g...

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