Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on
About Solace Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red
Job Title: LPN - Staff I Department: Neuroscience Location: 2655 Ridgeway Ave, Suite 420 Hours Per Week: 40 Schedule: Monday-Friday 8a-430p SUMMARY: As a Licensed Practical Nurse, you are key in the success of operations and compassionate
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired
Contract Assignment This is a contract assignment that will start right away and end on June 28th 2024 Remote in TX Must Live in TX Summary Description: RN or LPN with clinical experience and will work under the supervision
Join Ochsner Health Weve made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award
Job Title Provides support for clinical member services review assessment processes. Job Description Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through
Appeals Clinical Reviewer The Appeals Utilization Review Nurse reviews and evaluates member and provider appeals related to medical necessity determinations, authorization decisions, and claims outcomes. This role applies clinical expertise, evidence-based guidelines, regulatory requirements, and internal
LPN/LVN Healthcare Advocate Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red
Job DetailsLevel: ExperiencedJob Location: Involuntary Remote TMC - Remote, SC 29486Position Type: Full TimeEducation Level: High School Diploma or GEDSalary Range: $85,000.00 - $95,000.00 Salary/yearTravel Percentage: NoneJob Shift: DayJob Category: Admin - ClericalPOSITION SUMMARY: The medical
Ready to Bring Your Medical Skills Home? Join Our Remote Team Supporting Our Military Communities! The statements listed below are not intended to be all inclusive of the duties and responsibilities of the position. Based on
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
JOB DESCRIPTION Job Summary This position will offer remote work flexibility, but the candidate selected for this role must reside in Florida. Leads and manages multidisciplinary team of healthcare services professionals in some or all of
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual
JOB DESCRIPTION Job Summary This position will offer remote work flexibility, but the individual hired for this role will need to reside in Florida. Provides lead level clinical support to healthcare services team supporting one or
Overview Planned Systems International (PSI) is an Enterprise IT services company who focuses on designing, building, securing, and operating cutting-edge software solutions that drive mission success and operational excellence for Federal Government organizations. We are seeking
Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members needs and requirements
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members,