- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply Senior Medical Management ... safer, more efficient, and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review,… more
- Elevance Health (Houston, TX)
- ** Medical Management Nurse** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... service members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse** is responsible for review of the most… more
- Point32Health (Canton, MA)
- …are at Point32Health (https://www.point32health.org/) . **Job Summary** The Vice President of Medical Management , reporting to the Senior Vice President, Health ... Care Services is responsible for leading and transforming the medical management of in-patient, ambulatory and post-acute settings. This leader analyzes market… more
- Highmark Health (Harrisburg, PA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Elevance Health (Indianapolis, IN)
- ** Medical Management Specialist I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... granted as required by law._ **Schedule:** **8AM to 5PM EST.** The ** Medical Management Specialist I** is responsible for providing non-clinical support to the … more
- Elevance Health (Atlanta, GA)
- ** Medical Management Specialist I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... weekends or holidays, may be required based on operational needs. The ** Medical Management Specialist I** is responsible for providing non-clinical support… more
- Elevance Health (Washington, DC)
- ** Medical Management Specialist I** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... as required by law. **Schedule:** Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST The ** Medical Management Specialist I** will be responsible for providing… more
- Elevance Health (Miami, FL)
- ** Medical Management Clinician Associate** **Locations:** Tampa, FL or Miami, FL + 5411 Sky Center Drive, Tampa, FL 33607 + 11430 NW 20TH Street, STE 300, Miami, ... one weekend (Saturday & Sunday) about once every 3 months. The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent… more
- Texas A&M University System (College Station, TX)
- Job Title Wage Agency Instructor - Medical Management of CBRNE Agency Texas A&M Engineering Extension Service Department Emergency Services Training Institute ... Temporary/Casual Staff (Fixed Term) Job Description Wage Agency Instructor - Medical Management of CBRNE $45.00 per hour 4 Positions Available Temporary/Casual… more
- Elevance Health (Latham, NY)
- The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical ... information and assessing medical necessity under relevant guidelines and/or medical policies. **Location:** **Virtual -** This role enables associates to work… more