- McLaren Health Care (Flint, MI)
- We are looking for a Director, Medical Management , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary ... management and direction for the assigned Plan's health services and medical management activities to meet organizational goals. Assumes responsibility for… more
- Elevance Health (Walnut Creek, CA)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the exception ... hour shift within 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse** is responsible for review of the most complex or challenging… more
- Highmark Health (Columbia, SC)
- …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 (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 (Seattle, WA)
- ** Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... pm (PST)** , **possible weekends as needed by the business.** The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent… more
- Elevance Health (Middletown, NY)
- ** Medical Management Clinician** **Location:** **New York** . This role enables associates to work virtually full-time, with the exception of required in-person ... hours from 8:30 am- 5:00 pm EST, Monday thru Friday. The ** Medical Management Clinician** is responsible for ensuring appropriate, consistent administration… more
- Elevance Health (Tampa, FL)
- ** Medical Management Clinician Associate** **Location:** Miami, FL or Tampa, FL + 11430 NW 20th Street, STE 300, Miami, FL 33172 + 5411 Sky Center Drive, Tampa, ... - Friday, 8:00AM - 5:00PM or 9:00PM - 6:00PM The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of… more
- Elevance Health (Indianapolis, IN)
- Medical Management Clinician Associate - 40 hours, 4-5 days/week, Saturdays and Sundays **Location:** This role enables associates to work virtually full-time, ... may be 12 hrs, 10 hours, or 8 hours. The ** Medical Management Clinician Associate** responsible for ensuring appropriate, consistent administration of plan… more
- Elevance Health (Walnut Creek, CA)
- **Manager II Medical Management ** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law._ The **Manager II Medical Management ** will be responsible to manage a team of clinicians charged with… more
- CareFirst (Baltimore, MD)
- …care/managed care setting or previous customer facing experience, especially in a medical management related department. + Previous experience working with ... organizational and customer service skills. + Knowledge of basic medical terminology and concepts used in care management... medical terminology and concepts used in care management . + Knowledge of standardized processes and procedures for… more
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