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Daily Responsibilities: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient and outpatient care settings Goal is to determine whether or not the…
Daily Responsibilities: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the…
Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to…
Job Title: RN Field Case Manager Are you an experienced Registered Nurse with Case Management/Pediatrics experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance…
Knowledgeable of all physician’s specialties, schedules and insurances Schedule patient appointments for all practice physicians and locations Triage patient complaints thoroughly when scheduling their appointment…
Job Duties: - Bilingual RN's will work in office setting - Communicate with members to complete HRA care plan questionnaires - Review insurance benefits and care plans for effectiveness - tailor benefits care plans…
The Outbound caller works as a member of a scheduling team to support Nurse Practitioners in the field who visit in home patients to provide health assessments. They contact the patient for scheduling the in-home…
Job Title: Bilingual RN Are you an experienced Registered Nurse 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?…
Are you an experienced Manager or Supervisor of Healthcare Billing and Revenue Cycle functions seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with…
Are you a Manager of Healthcare Administrative Services in the Anaheim, CA area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further…
Are you an experienced Registered Nurse Case Manager 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…
Are you an experienced RN Case Manager 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 “yes"…
• Manages and monitors quality improvement initiatives including, but not limited to, development and implementation of preventive health and chronic disease outcome improvement interventions such as: newsletter…
Are you an experienced RN Case Manager in the Fresno, Ca area 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…
Job Title: Quality Improvement RN Are you an experienced RN with Quality Improvement experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by…
Daily Responsibilities: Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting Conduct claims data and systems…
Are you an experienced LVN 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 “yes" to any of…
Are you an experienced Registered Nurse 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 “yes"…
Are you an experienced Program Coordinator/Healthcare Admin Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Assessing patients’ ADLs (Activities of Daily Living) and doing HRAs (health risk assessments) and care plan reviews to assess the need for services that allow members to remain out of the hospital Working with the ABD…
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