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SR UTILIZATION MANAGEMENT NURSE RN ONSITE/REMOTE- MA

Audit entire medical record for accuracy of the coding on the MMQ to support payment to the nursing facility. Answer patient questions regarding care (medication, treatment) and benefits. Discuss Patient Care specifics with peers...

CompanyOptum
AddressBoston, MA
CategoryInformation Technology
Salary$93.3K - $118K a year
Job typeFull-time
Date Posted 2 months ago See detail

Sr Utilization Management Nurse RN Onsite/Remote- MA

Optum

Boston, MA

$93.3K - $118K a year

Audit entire medical record for accuracy of the coding on the MMQ to support payment to the nursing facility. Answer patient questions regarding care (medication, treatment) and benefits. Discuss Patient Care specifics with peers...

2 months ago seen See more...

Manager, Integrated Care Management - Nursing, CarePartners of Connecticut

Point32Health, Inc.

Rocky Hill, CT

Telephonic Care Management and onsite transition of care interventions. Compliance with applicable regulatory and accrediting standards; Care Management process and interventions consistent with national best practices; demonstrat...

2 months ago seen See more...

Registered Nurse (RN) - Case Manager, Care Manager - $32-58 per hour

Atrium Health

Charlotte, NC

Specialty: Care Manager. Discipline: RN. Duration: Ongoing. 36 hours per week. Shift: 12 hours, days. Employment Type: Staff. Medical benefits. Vision benefits. Dental benefits. Life insurance. 401k retirement plan. Health savings...

2 months ago seen See more...

Manager-Child and Adult Welfare Care Management (Remote, North Carolina Based)

Alliance Health

Fayetteville, NC

Work with Human Resources and Director of Child and Adult Welfare to maintain and retain a highly qualified and well-trained workforce. Ensure staff are well trained in and comply with all organization and department policies, pro...

2 months ago seen See more...

Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics (Remote)

Modern Pediatrics

Austin, TX

All well-child and illness care occurs in the patient's home. 24/7 accessibility through Virtual Care (text message, phone, video visit). High-quality, evidence-based care, using the most up to date research available. Thoughtful,...

2 months ago seen See more...

Registered Nurse-Case Manager-Remote

Hireops Staffing, Llc

Chicago, IL

$45 - $52 an hour

Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtai...

2 months ago seen See more...

Patient Care Center Registered Nurse (Remote)

Sun River Health

Coram, NY

$41.00 - $46.70 an hour

Interviews patients for health history, including history of current complaint, and past and present use of medication utilizing patient identifies; document patient charts (must be time stamped and/or initialed) Maintains patient...

2 months ago seen See more...

Quality Management Nurse - Remote or Hybrid - 24-29

Hill Physicians Medical Group

San Ramon, CA

$82,800 - $115,100 a year

Participates in health plan audits and represents Hill Physicians Medical Group (HPMG) at the audits for the Prior Authorization Department. Acts as the liaison for Prior Authorization regulatory and compliance issues. Monitors th...

2 months ago seen See more...

Registered Nurse Surgery Scheduler - SL Pain Management Clinic (remote)

St. Luke's Health System

Meridian, ID

$59.3K - $75.1K a year

Identifies patient needs and determines priorities for care through assessment, planning, intervention, and evaluation. Develops, implements and coordinates individualized plan of care for patients assigned through initial and on-...

2 months ago seen See more...

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