- Texas Health Resources (Arlington, TX)
- Clinical Coding Educator _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Clinical Coding Educator _like you ... to join our Texas Health family._ Work location: Remote Work hours: Monday through Friday (full time hours) HIMS/CCDI Department Highlights: + 100% remote work +… more
- Providence (Beaverton, OR)
- …best people, we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care ... managing medical expenses + Work to improve access and quality care to our members **Providence Health Plan welcomes...care to our members **Providence Health Plan welcomes 100% remote work to residents who reside in the following… more
- Centene Corporation (Phoenix, AZ)
- …benefits including a fresh perspective on workplace flexibility. Centene is seeking a ** Clinical Review Nurse** to join our **Arizona Medicaid team** in a ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...fully remote role. **Position Overview:** The ideal candidate will have… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician RN 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… more
- Evolent (Helena, MT)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be… more
- Elior North America (Baton Rouge, LA)
- …to dining service and nutrition. + Actively participating in the development, review , and revision of continuous quality improvement programs. **What we're ... **Job Reference Number:** 35565 **Employment Type:** Part-Time **,** Remote **Segment:** Healthcare **Brand:** Cura-Hospitality **State:** Louisiana (US-LA) **Why… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... fresh perspective on workplace flexibility. This is a fully remote position. Applicants must hold an active LPN or...Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. + Performs… more
- Molina Healthcare (Bothell, WA)
- JOB DESCRIPTION Job Summary The Care Review Clinician (RN) 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… more
- Molina Healthcare (Austin, TX)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician 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… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... a fresh perspective on workplace flexibility. **This is a remote role but must reside within New York State.**...overall health and appropriate level of care + Reviews quality and continuity of care by reviewing acuity level,… more