- Percepta (Melbourne, FL)
- **Description** At Percepta, we bring first-class service across each market we support. As a **ESP Prior Approval Technical Representative IV** in **Melbourne, ... part of a unique culture. **What You'll Be Doing** The ESP Prior Approval Technical Representative IV reviews technical inspection reports, digital photos, claim… more
- Centene Corporation (Nashville, TN)
- …all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- …team meetings, committee meetings requiring RRTP involvement, as well as Behavioral Health Service line leadership meetings and engagement opportunities to ... RRTP. 2. Developing, directing and evaluating an integrated mental health program for the RRTP. 3. Responsible for maintaining...qualify for credit toward annual leave accrual, based on prior work experience or military service experience.… more
- Veterans Affairs, Veterans Health Administration (North Little Rock, AR)
- …the organizational healthcare mission. Responsibilities The Deputy ACOS/ANE for Mental Health Service chairs the Interdisciplinary Safety Inspection Team (ISIT) ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...performance and attain measurable outcomes at the program or service level. Business Acumen. Transforms health care… more
- Molina Healthcare (Idaho Falls, ID)
- …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff ... cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes,… more
- Molina Healthcare (Albuquerque, NM)
- …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff ... cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes,… more
- Actalent (Sunrise, FL)
- …The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure appropriate service utilization. Working under ... direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more
- Performance Food Group (West Mifflin, PA)
- **123181BR** **Job Title:** Route Delivery Driver - Overnights (No Prior Experience Required!) **Location:** CM Pittsburgh, PA (2252) **Job Description:** **We ... Deliver the Goods:** + Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education… more
- Truman Medical Centers (Kansas City, MO)
- **If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.** ... to search for positions and apply.** Oral and Maxillofacial Surgery Prior Authorization Representative 101 Truman Medical Center **Job Location** University … more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- Summary Psychiatrist within Mental Health Service who performs duties as a Section Chief. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized for Highly ... include but are not limited to the following: Mental. Health Service is divided generally into Sections...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
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