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Are you an Registered Nurse with Quality Improvement experience that is looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Are you an experienced ER Case Manager in Fresno looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered…
Are you an experienced ER Case Manager in Grand Rapids, MI looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you…
Job Description: Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Day to Day Duties : Customer service representative in inbound clinical call center Answer an array of questions from policy members (ID cards, primary care physicians, specialists, etc.) Multi-task to perform data…
Daily Responsibilities: • Customer service representative in inbound clinical call center • Answer an array of questions from policy members (ID cards, primary care physicians, specialists, etc.) • Multi-task to…
Are you an experienced CSR / Member Service Rep / Customer Service Rep / Healthcare Admin looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a…
About the Job: Strictly telephonic Working as a case/care manager for all ages from Peds to Geriatric, coordinating services and identifying barriers to care (Medicare & Medicaid members). Keeping patients on track…
This person will take patient calls when they need additional or new products. They will answer questions, order supplies and call the doctors office to verify that the patient can have these supplies. If there are any…
Take all OB problem phone calls and document the charts appropriately Review abnormal mammogram results and communicate results with patients Manage the clinical staff including, but not limited to reviews, training,…
Job Title: RN Case Manager Are you an experienced RN with Case Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a…
Summary of Duties: Working with the inbound call center taking calls from members and providers from 3 state plans to handle eligibility, benefit and payment questions-this is 100% inbound calls! This is a high volume,…
We are aggressively seeking an Ambulatory Case Manager RN to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take advantage of flexible…
Job Title: Utilization Review RN Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with a prestigious healthcare company? Do you want the chance to…
Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to advance your career by…
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care * 100% telephonic…
Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews. •…
Are you an experienced Registered Nurse with Case Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Daily Responsibilities RN Supervisor of UM: Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of…
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