- Amergis (Orange, CA)
- …help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for ... providers. The incumbent will be responsible for prior authorizations, concurrent review and related processes. Position Details: Location: Orange (Full Office, no… more
- Parexel (Hartford, CT)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable...ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or… more
- University of Michigan (Ann Arbor, MI)
- …currently seeking experienced Emergency Department Techs. Under the direction of the RN , the Emergency Department Tech will perform patient care services and ... pediatric emergency care. AS DIRECTED AND SUPERVISED BY THE RN , MAJOR RESPONSIBILITIES FOR THE CES ED TECH INCLUDES:...+ Demonstrates critical thinking skills as evidenced by the utilization of a rapid decision making process in emergency… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Clinical Guide Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota ... market segment(s) including clinical and service availability. Required Skills and Experience * RN with MN license or LSW with no restrictions * 3 years relevant… more
- Commonwealth Care Alliance (Boston, MA)
- 011330 CCA-Clin Operations & Implementation **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... and presents results. + Develops and analyzes quantitative reports to assess utilization , productivity and adherence to policies and procedures related to various… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …by Administration. **Qualifications** **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be ... KPH upon date of discharge. This is not a remote opportunity and will be based in Watertown or...Responsible for planning and implementation of services to drive utilization of the Kinney Home Services program. + Proactively… more