- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management ... accreditation requirements. This position is responsible for the day-to-day management of the Medical Management ...responsible for the day-to-day management of the Medical Management Department staff, based upon established… more
- Elevance Health (CA)
- ** Medical Management Clinician Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Monday - Friday 7:00 AM - 3:30 PM PST The ** Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent administration of… more
- Elevance Health (Miami, FL)
- ** Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... for this position are 7am - 6pm EST and will include weekends. The ** Medical Management Nurse** will be responsible for review of the most complex or challenging… more
- Elevance Health (NC)
- ** Medical Management Clinician Sr** **Location** : **North Carolina.** This role enables associates to work virtually full-time, with the exception of required ... AM - 5:00 PM EST, with rotating weekend shifts.** The ** Medical Management Clinician Sr** is responsible for ensuring appropriate, consistent administration of… more
- Elevance Health (Durham, NC)
- ** Medical Management Specialist I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... law. **Location(s):** Durham, North Carolina and Winston Salem, North Carolina The ** Medical Management Specialist I** is responsible for providing non-clinical… more
- Elevance Health (NC)
- ** Medical Management Specialist I** **Location** : **North Carolina.** This role enables associates to work virtually full-time, with the exception of required ... Friday: 8:00 AM - 5:00 PM EST, with rotating weekend shifts.** The ** Medical Management Specialist I** is responsible for providing non-clinical support to the … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according ... MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient… more
- Elevance Health (St. Louis, MO)
- ** Medical Management Clinician Associate** **Location:** **Virtual -** This role enables associates to work virtually full-time, with the exception of required ... Monday thru Friday 8:00 am to 4:30 pm Eastern Standard Time** The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent… more
- Elevance Health (Mason, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Specialist I** **Location:** This role requires associates ... weekends or holidays, may be required based on operational needs. The ** Medical Management Specialist I** is responsible for providing non-clinical support… more
- Bellefaire JCB (Cleveland, OH)
- …Vimeo! POSITION SUMMARY: The Medical Case Manager is responsible for providing medical case management and care coordination services to clients and families ... of Child and Family Services (CCDCFS). Utilizing a holistic approach to case management , the Medical Case Manager administers the full scope of Medical Case … more