• Licensed Benefits Advisor

    Centers Plan for Healthy Living (Brooklyn, NY)
    …with the guidance and plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor - Medicare Sales, Maintains relationships, services ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Medicaid Services (CMS) and company policies and regulations. The Licensed Benefits Advisor will develop… more
    Centers Plan for Healthy Living (07/15/25)
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  • Remote Licensed Benefit

    TEKsystems (Orlando, FL)
    Licensed Benefit Advisor 100% Remote - Equipment Provided Anticipated Start Date: September 2nd 2025 Pay: $21/hr + Commission (lump sum at end of AEP season) ... to submit PDB Report Active Health & Life Insurance License Description The Licensed Virtual Benefit Advisor 's responsibilities include selling and enrolling… more
    TEKsystems (07/29/25)
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  • Licensed Retiree Benefits

    Alight (TX)
    …to handle all responsibilities from the comfort of their home office. The Licensed Virtual Benefit Advisor 's responsibilities include selling and enrolling ... connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure...a business unit that provides customer service assistance to Medicare and Pre- Medicare eligible retirees and assist… more
    Alight (07/28/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, ... the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI departments at the… more
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    Trinity Health (Silver Spring, MD)
    …Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits , Free parking, employee discounts. Quality of Life: Flexible work schedules to ... from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of care (LOC),… more
    Trinity Health (07/18/25)
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  • Physician Advisor

    CommonSpirit Health (Houston, TX)
    **Responsibilities** This is a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA ... quality care management. + Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical...Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of clinical… more
    CommonSpirit Health (06/28/25)
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  • Utilization Review Nurse - Transition in Care

    Houston Methodist (Houston, TX)
    …law regarding the use of Hospital Initiated Notice of Non-Coverage (HINN), Ambulatory Benefit Notice (ABN), Important Message from Medicare (IMM), Medicare ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent… more
    Houston Methodist (07/25/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …law regarding the use of Hospital Initiated Notice of Non-Coverage (HINN), Ambulatory Benefit Notice (ABN), Important Message from Medicare (IMM), Medicare ... Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and… more
    Houston Methodist (07/29/25)
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  • Certified Case Manager

    Houston Methodist (Cypress, TX)
    …case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing ... Medicare Hospital Initiated Notice of Non-coverage. + Applies approved...informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. +… more
    Houston Methodist (07/26/25)
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  • Case Manager (RN) - PRN Days

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more
    Houston Methodist (05/25/25)
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