Parsippany-Troy Hills, New Jersey
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and me...
2d
| Job Type | Full Time |
Philadelphia, Pennsylvania
Responsibilities Position Summary: The Regional Appeals Specialist supports utilization management shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, incl...
2d
| Job Type | Full Time |
RN Care Manager, Care Management 7E, 40 Hours (4-10hr shifts / Days / Every 6th Weekend)
Boston, Massachusetts
POSITION SUMMARY: Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to...
2d
| Job Type | Full Time |
Advanced Practice Clinician Neurology, Corvallis, OR
Corvallis, Oregon
Explore opportunities at The Corvallis Clinic, part of the Optum family of businesses. For more than 75 years, our multi-specialty group has been committed to delivering exceptional care to our patients and fulfilling l Required Qualificati...
2d
| Job Type | Full Time |
Advanced Practice Clinician - Optum New Mexico
Albuquerque, New Mexico
Optum NM is seeking an Advanced Practice Clinician to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an ...
2d
| Job Type | Full Time |
Care Connection Case Manager (Grant) - RN
Roanoke, Virginia
How You'll Help Transform Healthcare: Provides care management for specific patient populations, utilizing clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effecti...
2d
| Job Type | Part Time |
Coordinator, Risk Management, Days
Louisville, Kentucky
Responsibilities The Coordinator, Risk Management is responsible for providing consultation to leadership and health care providers regarding everyday risk management issues. This position will create and communicate claims reports to the r...
2d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate
Woodland Hills, California
Your Role The MCS Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you ...
2d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate
Rancho Cordova, California
Your Role The MCS Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you ...
2d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate
San Diego, California
Your Role The MCS Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you ...
2d
| Job Type | Full Time |