- AmeriHealth Caritas (Philadelphia, PA)
- … policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. + Demonstrates ... Thoroughly documents all care coordination activity in the member medical record in the electronic case management...expected within 30 days of hire.; + Current Pennsylvania license preferred, must be willing to be obtain additional… more
- YMCA of Greater Seattle (Seattle, WA)
- …supports clients through a team approach. The teams are made up of case managers, Parent Partners, and Youth Peers and collaborate to successfully stabilizes the ... of Greater Seattle for you and your household + Medical , Dental, Vision, and Life insurance + Retirement with...benefits only available to full-time staff Hiring Range Associate License : $77,969 - $79,000 annually Responsibilities + Works as… more
- Allied Universal (Allentown, PA)
- …we serve. We offer a comprehensive benefits package that may include medical , dental, and vision coverage, life insurance, a retirement plan, employee assistance ... An Hour Starting Pay!** **- ATTENDANCE IS A MUST** Valid Driver's License - AU Driver Policy Requirements (C123) Access Control/Badge Experience (B201) Alarm… more
- Medical Mutual of Ohio (Fort Myers, FL)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... and /or face to face counseling, coaching, resource coordination, and case management for Employee Assistance Program members who call for immediate… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time ... Stay management and readmission prevention. + Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care… more
- Securitas Security Services USA, Inc. (Stockton, CA)
- …unless such duties or tasks are unrelated to the functions listed, in which case they are deemed to be other (non-essential) functions. * Employees are held ... (and willingness to obtain any additional required certifications). + Valid driver's license and clean driving record. + Flexibility to work nights, weekends, and… more
- Sedgwick (Moline, IL)
- …Services & Insurance Commercial General Liability Adjuster- Remote Opportunity (NY License Required) **PRIMARY PURPOSE:** To investigate claims against insurance or ... department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists… more
- Humana (Jackson, MS)
- …or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire. ... Qualifications** + MD or DO degree + **Valid Florida Medical license ** + 5+ years of direct...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post… more
- AdventHealth (Altamonte Springs, FL)
- …operational and strategy decisions. Serves as a clinical leader to the hospitals medical staff providing guidance in case management, appropriate levels of care ... with medical staff to obtain appropriate documentation and assist case management with clinical interpretation necessary to ensure appropriate payment for… more
- Blue KC (MO)
- …insurance, other healthcare providers, clinical group practice management + Current unrestricted medical license to practice medicine in the states of Missouri ... a major program or functional area within Medical Management, eg, medical policy, credentialing, utilization management, case management, patient centered … more