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These nurses will be responsible for reaching out to patients over the phone, conducting an assessments with them, creating a care plan for each patient and documenting their notes. They are working a very large…
This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote effective use of…
Daily Responsibilities: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures,…
Are you an experienced Project Coordinator 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 RN Prior Authorization 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 RN Concurrent Review 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…
Daily Responsibilities: Performs medical record reviews/chart audits to determine appropriateness of patient services provided Manages and monitors quality improvement initiatives Analyzes, updates, and modifies…
• Telephonic position located in the McAllen office • 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…
Are you an experienced RN Service Coordinator 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…
Handling the Resolution Center where ypu will be troubleshooting and partnering with the retail stores, Physician offices, patients, and insurance carriers to determine why a drug is being rejected for coverage Strong…
Daily Responsibilities: • Establishes and maintains supportive relationships with callers and their families. • Performs professional assessment of caller's needs with accurate, concise documentation. • Conducts…
Are you an experienced Field Case Manager II 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…
Daily Responsibilities: These Customer Service Reps will be working in the Resolution Center where they will be troubleshooting and partnering with the retail stores, Physician offices, patients, and insurance carriers…
Are you an experienced Registered Nurse with Discharge Planning 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…
Processing invoices Preparing adjustments Collecting payments due within the department's required time frame Effectively follows-up on accounts receivable. Maintains excel spreadsheets Adheres to the End of Month…
Enrollment is a SALES Team. The role of the pharmacy technician is a sales role and it is a hourly plus commission position once converted to a permanent employee. Not only does this person need to have strong…
Telephonic position Making sure that the best products/services are being used, while being cost efficient Behavioral Health experience is a plus Must be LCSW (Licensed Clinical Social Worker), LPC (Licensed…
• Responsible for providing administrative and telephonic support for department working on a data collection project in a fast paced environment in order to meet deadlines within the project. • Candidate will work…
Shift: Monday-Friday 10:00 am-7:00 pm Pay rate: $15-$17 per hour Essential Functions: Responsible for handling inbound emails and calls from DaVita teammates on billing status or other complicated billing inquires…
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