- Elevance Health (Mason, OH)
- ** Medical Management Nurse** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Join us and together we will drive the future of health care. The ** Medical Management Nurse** is responsible for reviewing the most complex or challenging… 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 ... - Friday 7:00 AM - 3:30 PM PST The ** Medical Management Clinician Senior** is responsible for...+ Develops and fosters ongoing relationships with physicians, healthcare service providers and internal and external customers to help… more
- Elevance Health (Los Angeles, CA)
- ** Medical Management Nurse** **Hours: Candidates will work** **8a-5pm PST with 1 weekend per year-open for weekend work holidays voluntary** **Location** : This ... considered for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse** is responsible for review of the most complex… 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 ... 7am - 6pm EST and will include weekends. The ** Medical Management Nurse** will be responsible for...member's clinical presentation to determine whether to approve requested service (s) as medically necessary. Works with healthcare providers to… 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 ... - 5:00 PM EST, with rotating weekend shifts.** The ** Medical Management Clinician Sr** is responsible for...+ Develops and fosters ongoing relationships with physicians, healthcare service providers and internal and external customers to help… 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 ... - 5:00 PM EST, with rotating weekend shifts.** The ** Medical Management Specialist I** is responsible for...Microsoft Office Suite and Microsoft Excel. + Excellent customer service skills preferred. _For URAC accredited areas, the following… 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 to ... Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG(R) screening criteria. Responsibilities: +… more
- Elevance Health (Tampa, FL)
- …plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Medical Management Clinician Associate** **Location:** The candidate must reside in ... must be flexible for weekend coverage as needed. The ** Medical Management Clinician Associate** is responsible for...may include but are not limited to: + Confirms medical services are appropriate based on assigned… more
- Elevance Health (Independence, OH)
- …health, long term services and supports, and psychosocial needs._ ** Medical Management Specialist I** **Location:** This role requires associates to ... holidays, may be required based on operational needs. The ** Medical Management Specialist I** is responsible for...follow up on activities of care coordination. + Confirm service initiation and coordinate service delivery +… 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, ... is granted as required by law._ The **Manager II Medical Management ** will be responsible to manage...you will make an impact:** + Ensures adherence to medical policy and member benefits in providing service… more
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