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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Senior Quality Improvement Nurse (RN or LPN or CPHQ) – Managed Care Yakima, WA *** This is a split telephonic / field position: 50% will be telephonic from your home-based office, 50% will be traveling in area to clinical locations! *** Job Summary: The Quality Improvement Nurse performs all aspects of the Quality Program, including the Performance Improvement, Quality Management, and Pay for...
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 ...
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...
Medical Director (MD or DO) - Health Plan Miami, FL (South Beach) Job Summary: The Medical Director is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The Medical Director is a critical medical and business leader and contact for external providers, plan sp...
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...
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...
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...
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...
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...
Lead Medical Claims Review Specialist – Managed Care Austin, TX Job Summary: The Lead Claims Review Specialist is responsible for in-depth analysis and final resolution of claims requiring clinical review, ensuring full compliance with policies and all regulatory procedures along with building, and fostering collaborative working relationships. The Claims Review Specialist is also responsible f...
RN, BSN Director of Case Management - Long Term Care Hospital Albuquerque, NM Job Summary: The Director of Case Management provides leadership for planning, management, implementation, integration and coordination of Case Management, Discharge Planning, and Utilization Review, in support of a reputable multi-state hospital system. Support the delivery of the high quality, cost effective patient...
RN Medical Management Educator / Trainer – Managed Care Santa Cruz, CA Job Summary: The Nurse Educator/Trainer will train staff on federal, state, and organizational standards related to the managed care model of providing the full spectrum of health care support used in the medical management of members and patients. They oversee and implement the successful training of newly hired staff for M...
RN Vice President of Quality Improvement - Managed Care Sacramento, CA Job Summary: The VP of Clinical Quality Improvement is responsible for strategically developing and coordinating all Quality Improvement related activities, objectives, and analysis within the organization. The VP of QI provides ongoing maintenance and evaluation of quality systems and strategies focused on NCQA and other ac...
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...
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 ...
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 ...
CONTRACT TO HIRE Quality Improvement Auditor (CPHQ) - Managed Care Austin, TX Job Summary: The Quality Improvement Auditor will facilitate and work collaboratively with healthcare provider groups focused on Medicare, Medicaid, and Commercial plans to guide, recommend and develop practice specific strategies designed to improve all aspects of quality. Perform oversight of provider organizations ...
CORPORATE Administrative Support/Human Resource Generalist Scottsdale, Arizona CareNational Healthcare Services, a Scottsdale based, medical management specific recruitment firm, is experiencing dynamic growth and is seeking a new team member to join our team! Job Summary In the Corporate Administrative Support/HR Generalist role, you will perform the following duties: Ensure compliance with ...

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