• Member Appeal Analyst

    Corewell Health (Grand Rapids, MI)
    …payments, billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer service interactions, prescription claims, ... committee, State and Federal decisions are properly implemented. Assist the Lead , Supervisor and/or Manager in coordinating activities and in the… more
    Corewell Health (06/27/25)
    - Related Jobs
  • Perioerative Services Educator Nursing Education

    Trinity Health (Des Moines, IA)
    …Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/)** **House of Mercy** **Clive Behavioral Health (https://clivebehavioral.com/)** **With more than ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians… more
    Trinity Health (07/22/25)
    - Related Jobs
  • Labor and Delivery/OB ED RN Educator Nursing…

    Trinity Health (Des Moines, IA)
    …Clive Rehabilitation Hospital (https://www.mercyrehabdesmoines.com/) House of Mercy Clive Behavioral Health (https://clivebehavioral.com/) With more than 7,000 ... 24 hours a day, seven days a week.** Trinity Health is a family of 115,000 colleagues and nearly...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
    Trinity Health (07/19/25)
    - Related Jobs
  • Psych Social Worker - Psych Acute - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …business practices. **What You Will Do** To assist patients and families with behavioral health and environmental resources to reach the maximum level of ... the current episode of care. This position is responsible for conducting behavioral health psychosocial assessments and clinical interventions, inclusive of… more
    Sharp HealthCare (07/31/25)
    - Related Jobs
  • Medical Records Administrator (Assistant Chief)

    Veterans Affairs, Veterans Health Administration (Boise, ID)
    …standards for all areas of the medical center including: inpatient, outpatient, home health , long term care, behavioral health , rehabilitation and fee ... as a Medical Records Administrator (Assistant Chief) in the Health Information Management (HIM) section at the Boise VA...Provides technical guidance to the various HIM units and lead clerks while providing support of each unit. Additionally,… more
    Veterans Affairs, Veterans Health Administration (08/10/25)
    - Related Jobs
  • Medical Director- Medicare Fee for Service

    Elevance Health (Richmond, VA)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... **National Government Services** is a proud member of Elevance Health 's family of brands. We administer government contracts for...of a program. + Serves as a resource and consultant to other areas of the company; particularly the… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Utilization Management Medical Director- NC…

    Elevance Health (Durham, NC)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Medical Director

    Elevance Health (St. Louis, MO)
    …care. The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (07/30/25)
    - Related Jobs
  • Senior Social Worker - Residential Rehabilitation…

    Veterans Affairs, Veterans Health Administration (Togus, ME)
    …Social Workers as requested. Maintain familiarity and responsibility for all behavioral health performance measures. Assist in development and maintenance ... Act as a consultant to other team/staff members and take a lead clinical role in case consultation. Fulfill ethical responsibilities to Veterans, colleagues and… more
    Veterans Affairs, Veterans Health Administration (06/20/25)
    - Related Jobs
  • Process Improvement Specialist

    Northern Light Health (Bangor, ME)
    Northern Light Health Department: Patient Safety Position is located: Position will be primarily located at Acadia hospital in Bangor, Maine Work Type: Full Time ... in process and performance measurement and improvement activities for Northern Light Health member organizations. This role incorporates quality and safety tools and… more
    Northern Light Health (05/23/25)
    - Related Jobs