Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
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Atlanta, Georgia
Job Summary: This position supports TRICARE Prime Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veter...
9d
Care Manager - Transition of Care RN
Las Vegas, Nevada
Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the populatio...
9d
Care Manager - Transition of Care - Social Worker or Certified Psychiatric Nurse
Las Vegas, Nevada
Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the populatio...
9d
Reno, Nevada
Job Summary: Priority will be given to those located in Elko, then Lyon and Nye Counties. The Manager, Rural Health is responsible for overseeing the Tribal and Rural Health Programs aimed at enhancing healthcare accessibility, quality, and...
9d
Las Vegas, Nevada
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
9d
Dayton, Ohio
Job Summary: The Medical Director is responsible for appeals medical necessity determinations, for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide APPEALS med...
9d
Senior Program Officer, Health Commercialization - ARPA-H Portfolio
About The Role: VentureWell has an exciting opportunity to hire a new Senior Program Officer (SPO) to work with existing and new health commercialization programs. If you have at least seven years of highly related experience, including fun...
10d