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Clinical Quality RN - Philadelphia, PA

at UnitedHealth Group
Philadelphia, PA

RN, Health Care, Medicaid, Medicare, HEDIS, NCQA, Managed Care, Clinical, Work at Home, Philadelphia, PA, telecommute....

13 days ago

Senior Care Advocate - Philadelphia, PA

at UnitedHealth Group
Philadelphia, PA

Experience in acute long term care, acute rehabilitation, or skilled nursing facilities. A background that involves utilization review for an insurance company...

17 days ago

Care Senior Associate (Philadelphia, PA Spring Garden)

at Cigna
Philadelphia, PA

High School Diploma and 1-2 years experience in a managed care environment. With nursing staff, physicians, nurse practitioners and other health workers...

8 days ago

Registered Nurse (RN) - Case Manager (Willingboro, NJ)

at Aetna
Blue Bell, PA

Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years. RN case manager will identify potential barriers to care and develop an individualized care...

2 days ago

Clinical Practice Consultant - RN - Western PA

at UnitedHealth Group
Pittsburgh, PA

Clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry....

13 days ago

Case Manager, RN / Social Worker, Part Time, 11am-9:30pm (Nurse, BSN, MSW)

at Grand View Health
Allentown, PA

Strong knowledge of managed care, medical assistance and Medicare reimbursement required. Ability to perform discharge planning and coordinate care....

5 days ago

Case Manager II, RN - Telephonic

at PMA Companies
Camp Hill, PA

Periodically assists with special projects assigned by the Managed Care Department. Bachelors degree in Nursing, Healthcare and or Occupational Medicine....

20 days ago

Contract RNAC

at Reliant Senior Care
Pottstown, PA

Coordinates managed care updates and seeks highest reimbursement; Interacts regularly with Director of Nursing, Nursing Department staff, etc., to develop and...

6 days ago

Case Manager - Skilled Nursing Facility Job

at HCR ManorCare
King of Prussia, PA

Care provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care...

17 days ago

Registered Nurse

at Ware Presbyterian Village
Oxford, PA

If you are a Registered Nurse (RN) and have experience in healthcare, home health, direct care, medical care, managed care, geriatrics, or hospice, we encourage...

12 days ago


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