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HealthcareSupportStaffing1

Discussion
225 jobs
HealthcareSupportStaffing1
3 views 11 years ago

Quality Assurance Specialist

Open 89d North America
United States

• Quality Assurance Spec • Call Center Environment • Listening to inbound calls to make sure reps are saying the right things "quality" etc. • HC NOT REQUIRED Requirements: • 2+ year’s Quality Assurance or…
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HealthcareSupportStaffing1
2 views 11 years ago

Customer Service Representative

Open 89d North AmericaContract
United States

Daily Responsibilities: • 90% inbound calls, 50-70 calls per day • Making sure candidates are comfortable w/ taking calls from members and providers (physician offices and hospitals) • Working on a call que…
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HealthcareSupportStaffing1
2 views 11 years ago

Inbound Customer Service Representative

Open 89d North America
United States

• ·Take inbound calls from Provider offices, facilities, and member calls • ·Documents providers and member calls • ·Educates providers on our self-service options (learn more in training) • ·Assists providers and…
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HealthcareSupportStaffing1
1 views 11 years ago

RN Case Manager

Open 89d North America
United States

Provides case management services to members with chronic or complex conditions including: o Proactively identifies members that may qualify for potential case management services. o Conducts assessment of member needs…
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HealthcareSupportStaffing1
2 views 11 years ago

RN Case Manager Prior Authorizations

Open 89d North America
United States

Will be requesting prior authorization of durable medical equipment for members. 100% Telephonic Requests for prior authorization of DME Review provider requests through fax or telephone to ensure medical necessity for…
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HealthcareSupportStaffing1
3 views 11 years ago

RN Case Manager / Concurrent Review

Open 89d On-siteNorth America
United States

Review inpatient admissions to assure appropriate level of care and medical necessity for members. 100% Onsite/Telephonic Review inpatient admissions to assure appropriate level of care and medical necessity Review…
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HealthcareSupportStaffing1
1 views 11 years ago

Financial Analyst II

Open 89d North AmericaContract
United States

Job Title Financial Analyst II City, State: Austin, TX Intro: Are you an experienced Financial Analyst looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career…

Financial Modeling Financial Reporting PeopleSoft
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HealthcareSupportStaffing1
4 views 11 years ago

RN Service Coordinator

Open 89d North America
United States

About the Job: · 100% in the field · Will have a case load of about 60 members/patients Service Coordinators are responsible for going to members' homes and LTC facilities to assess their ADLs and living…
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HealthcareSupportStaffing1
4 views 11 years ago

RN Prior Authorizations

Open 89d North America
United States

Core duties and responsibilities include the following. Other duties may be assigned. Supports and encourages others to support the Mission, Core, Values and Goals of Prestige Health Choice. Conducts occasional…
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HealthcareSupportStaffing1
1 views 11 years ago

RN Case Manager (Prior Authorizations)

Open 89d North AmericaContract
United States

- Review requests for prior authorization of medical services such as surgeries, pain management, home health care · Review provider requests through fax or telephone to ensure medical necessity for services requiring…
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HealthcareSupportStaffing1
1 views 11 years ago

Health Coach - RN (CAD)

Open 89d North America
United States

Position Purpose: Provide telephonic disease management services to individuals within a specific disease category. Services may include educating members, counseling and coordinating care. Position Responsibilities:…
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HealthcareSupportStaffing1
2 views 11 years ago

Contract Administrator

Open 89d APAC, North AmericaContract

is person needs to have some sort of contracting experience. They will be like an admin assisting higher level negotiators. They will be ensuring that all documentation within the contract is complete and accurate.…
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HealthcareSupportStaffing1
2 views 11 years ago

Customer Service Representative

Open 89d North America
United States

Company Job Description/Day to Day Duties: Outbound calls to a list of members which is provided daily. Objective is to verifying if the member is truly is a member. Candidates need to be comfortable reading,…
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HealthcareSupportStaffing1
1 views 11 years ago

Active Directory/Technical Administrator

Open 88d APAC, North America

This person is a help desk technician This person will be assigning and enforcing security policies for all computers and installing or updating software. They will create, modify and terminate users using Active…

Active Directory Help Desk
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HealthcareSupportStaffing1
1 views 11 years ago

RN Case Manager - Prior Authorization

Open 88d North AmericaContract
United States

Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit Review provider request for contract specific prior authorization through fax or telephone with…
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HealthcareSupportStaffing1
3 views 11 years ago

Contract Administrator

Open 88d APAC, North AmericaContract

This person needs to have some sort of contracting experience. They will be like an admin assisting higher level negotiators. They will be ensuring that all documentation within the contract is complete and accurate.…
Apply
HealthcareSupportStaffing1
11 years ago

RN Case Manager

Open 88d North America
United States

These nurses will completing telephonic patient assessments and creating care plans for the patients based on the assessment that is completed by them. They are working with the Outreach Program for Special Needs,…
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HealthcareSupportStaffing1
2 views 11 years ago

Provider Operations Coordinator

Open 88d North AmericaContract
United States

Company Job Description/Day to Day Duties: • Supports the Provider Relations Field Reps to resolve claims and payment issues. • Answers incoming telephone inquiries from providers and assist with problem resolution of…
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HealthcareSupportStaffing1
1 views 11 years ago

Customer Service Representative

Open 88d North AmericaContract
United States

Company Job Description/Day to Day Duties: High volume inbound calls from Members, Providers, Facilities, Health Plan Reps, and other Employer Reps for the Behavioral Health Department. They will need to field phone…
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HealthcareSupportStaffing1
1 views 11 years ago

Utilization Review- RN

Open 88d North America
United States

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the…
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