Jobs at CareNational Healthcare Services, LLC

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posted Posted images/datagrid/sortDesc.gif	title Job Title images/datagrid/sortDesc.gif	city City images/datagrid/sortDesc.gif	state State
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Jun 1	1871297Seattle Concurrent Review/UM RN - Managed Care	Seattle/Tacoma	WA
Concurrent Review / Utilization Management RN – Managed Care Seattle/Tacoma, WA * Position is available as a CONTRACT, CONTRACT-TO-HIRE, or PERMANENT, DIRECT HIRE opportunity! * Job Summary: As a Concurrent Review/UM Nurse you will utilize ...
Jun 1	2373691Seattle CONTRACT Medical Director - Managed Care	Seattle	WA
CONTRACT Medical Director - Managed Care Seattle, WA Job Summary: The Medical Director (MD) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high ...
May 29	2406269Seattle RN Quality Improvement Project Lead - Managed Care	Seattle	WA
RN Quality Improvement Project Lead - Managed Care Pacific Northwest * Position is available in Seattle, WA; Tacoma, WA; Burlington, WA; Portland, OR; Salem, OR; Medford, OR; Lewiston, ID; Boise, ID; Salt Lake City, UT * ** Willing to ...
Jun 17	2489449Vancouver RN Case Manager - Managed Care	Vancouver	WA
RN Case Manager - Managed Care Vancouver, WA 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 ...
Jun 1	2396195Amarillo Supervisor of Case Management (RN or MSW) - Hospital	Amarillo	TX
Supervisor of Case Management - Hospital Amarillo, TX Job Summary: Supervisor of Case Management provides clinical leadership for all Case Management programs by serving as an educator, role model, member advocate, and change agent to enhance ...
Jun 1	1825849Philadelphia NeoNatal/NICU Case Management RN - Managed Care	Philadelphia	PA
NeoNatal / NICU Case Management RN - Managed Care Philadelphia, PA 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 ...
Jun 1	2383315Philadelphia Medical Director (MD or DO) – Pediatric/Neonatal Managed Care	Philadelphia	PA
Medical Director (MD or DO) – Pediatric/Neonatal Managed Care Philadelphia, PA Job Summary: The Medical Director (MD or DO) is responsible for providing clinical expertise and business direction in support of medical management programs ...
Jun 1	2330655Portland RN Director of Quality & Performance Improvement - Hospital	Portland	OR
RN Director of Quality & Performance Improvement - Hospital Portland, OR Job Summary: RN Director of Quality & Performance Improvement is responsible for planning, administration, and monitoring of consistent readiness of all quality ...
Jun 1	2121513NYC RN Vice President of Quality Improvement - Managed Care	New York	NY
RN Vice President of Quality Improvement - Managed Care New York, NY (Bronx) Job Summary: The VP of Clinical Quality Improvement is responsible for strategically developing and coordinating all Quality Improvement Program-related activities, ...
Jun 1	2121669NYC RN Assistant Vice President of Long-Term-Care Operations – Medicaid Managed Care	New York	NY
RN Assistant Vice President of Long-Term-Care Operations – Medicaid Managed Care New York, NY (Bronx) Job Summary: The AVP of Long-Term-Care Operations for Medicaid members is responsible for ensuring high quality, and cost-effective clinical ...
Jun 5	2462519NYC Utilization Review RN - Managed Care	New York	NY
Utilization Review RN - Managed Care New York, NY Job Summary: The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review (telephonic inpatient care management). The UR Nurse will performs ...
Jun 11	2476697Albany LOCUM Health Assessment & Coding NP - Adult/Geriatric	Albany	NY
LOCUM Health Assessment & Coding NP or PA - Adult/Geriatric Albany, NY * This LOCUM TENENS (CONTRACT) position is available as Part Time / Supplemental work, or as Full Time position expected to last around 6 weeks. * Job Summary: ...
Jun 6	2464199NJ Claims Review & Audit Nurse (RN or LPN) - Managed Care	Bedmister	NJ
Claims Review & Audit Nurse (RN or LPN) - Managed Care Bedminster, NJ Job Summary: The Claims Review & Audit Nurse is responsible for the day to day claims processing operations, ensuring full compliance with performance, policies ...
Jun 1	2085555Minneapolis RN Case Management Subject Matter Expert - Managed Care	Minneapolis-St Paul	MN
RN Case Management Subject Matter Expert - Managed Care Minneapolis-St Paul, MN Job Summary: The Nurse Case Management Subject Matter Expert (SME) will provide high quality case management and claims management consulting by assisting contracted ...
Jun 1	2381915Detroit Appeals & Grievance RN- Hospital	Detroit	MI
Appeals & Grievance RN - Hospital Detroit, MI Job Summary: The Appeals and Grievance RN supports the organization by working to resolve payer payment disputes. The Appeals and Grievance RN performs advanced and complicated case review ...
Jun 1	2381935Detroit Utilization Management & Case Management RN- Hospital	Detroit	MI
Utilization Management & Case Management RN- Hospital Detroit, MI Job Summary: The Utilization/ Case Management RN is responsible for utilization management, utilization review, or concurrent/retrospective review of the patient’s ...
Jun 1	2393769Terre Haute Quality Improvement Program Manager - Managed Care	Terre Haute	IN
Quality Improvement Program Manager - Managed Care Terre Haute, IN Job Summary: In this leadership role with a Quality Improvement Organization, the Program Manager supports the development and implementation of Quality Improvement interventions ...
Jun 5	2462605Indianapolis Medical Coding Auditor (CCS/CPC or RHIA/RHIT) – Managed Care	Indianapolis	IN
Medical Coding Auditor (CCS/CPC or RHIA/RHIT) – Managed Care Indianapolis, IN Job Summary: The Medical Coding Auditor (CCS/CPC or RHIA/RHIT) performs coding audit activities by evaluating medical records and validating that appropriate ...
Jun 1	2097515Chicago RN Manager of Community Case Management - Managed Care	Chicago	IL
RN Manager of Community Case Management - Managed Care Chicago, IL Job Summary: The Manager of Community Case Management provides leadership for all Community Care Services programs by serving as an educator, role model, member advocate, ...
Jun 1	2367713DC Prior Authorization Nurse (LPN) - Managed Care	Washington	DC
Prior Authorizations Nurse (LPN) - Managed Care Washington D.C. 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 ...