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
Description CORE VALUES The core values of Community Health Center of Southeast Kansas, Inc. (CHC/SEK) are dignity and stewardship. Each staff member is expected to perform their job duties in a way that preserves dignity for
Find your calling at Mercy!Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic
Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Quailbrook (Oklahoma City) Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at
Job DetailsJob Location: URC Durant - Durant, OK 74701Salary Range: $29.21 - $41.32 HourlyJob Shift: GraveyardAbout Lighthouse: A Lighthouse is needed to help guide the way; to emit a light that helps navigate turbulent times and
Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Norman Porter Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will
Find your calling at Mercy!Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering virtual or telephonic support to identified clients engaging customers, patients, and/or
Description Indiana Health Centers, Inc. (IHC) is a mission-driven organization providing high-quality, affordable healthcare to underserved and uninsured populations since 1977. At IHC, a Federally Qualified Health Center, we specialize in integrated care which means having
Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality Nurse Navigator, you will monitor/implement quality improvement/management activities, conduct specific medical reviews as
Clinical Reviewer, RN/LPN (Remote - TN) Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. Issue approvals, denials or recommendations
Join The Wright Center for Community Health Care for and strengthen our community by joining The Wright Center! We welcome and invite you to join The Wright Center for Community Health and transform your career in
Behavioral Health Clinical Specialist (LPN or RN) Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Behavioral Health Clinical Specialist (LPN or RN) to join our growing team.
Precertification Nurse - LPN/RN Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our
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
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
Find your calling at Mercy!Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic
Job Summary: The Clinical Care Manager-Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care
Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people
About Wider Circle Wider Circle is a mission-driven healthcare organization on a mission to improve health outcomes for older adults and people with complex health needs. We do this by addressing the social and clinical barriers