- CVS Health (Charleston, WV)
- …plans. Coordinates and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most ... a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening and supporting the… more
- Elevance Health (Norfolk, VA)
- …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... I** is responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Elevance Health (Walnut Creek, CA)
- …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... I** is responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Trinity Health (Syracuse, NY)
- …for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have ... preferred). + Master's degree preferred. + Certification (CPHRM) is preferred. + Registered Nurse preferred. + Ideally, the candidate will have 3-5 years in risk… more
- Spira Care, LLC (Kansas City, KS)
- …of our offerings include: + Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a 401(k) plan that both ... in compliance with state and federal laws. Reads, understands and follows medical policy and all corporate, divisional and departmental policies and procedures… more
- Diversicare Healthcare Services & Diversicare Ther (Tupelo, MS)
- …and completes accurate coding of the MDS assessment with information obtained via medical record review , observation and interview with center staff, patients, ... and residents, **APPLY NOW!** **Full Time Benefits include:** + ** Medical /Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement** + **Vacation,… more
- BronxCare Health System (Bronx, NY)
- …projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate preferred ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- New York Times (New York, NY)
- …inspections, and remediation projects. + Oversee the relationship with our on-site medical services provider at our College Point, NY, production facility. + Ensure ... all medical records are maintained in strict compliance with HIPPA...and accommodations. + Employee Health & Wellness Management + Review all occupational incident reports, ensuring follow-up with all… more
- HCA Healthcare (Trinity, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Trinity Health (Albany, NY)
- …for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have ... is strongly preferred). Master's degree preferred. Certification (CPHRM) is preferred. Registered Nurse preferred. Ideally, the candidate will have 3-5 years in risk… more