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New
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
view moreRN Case Managers Needed Near El Paso!
(fully-remote, but must live in El Paso, TX)
Openings: 5 total
Location: Remote (Must live in/near El Paso, TX)
Job Description
Responsible for overall management of member's case within the scope of licensure. Provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contrac...
Revenue Cycle Auditor RN *Remote* Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.
The Nurse Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health to in meeting financial objectives.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Reven...
Who We Are
WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across...
The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
At WGU, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decis...
Who We Are
WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty...
This position is available fully remote from Washington, Oregon, Idaho, Texas and Florida.
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
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New
Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst
We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantag...
This position is available fully remote in Washington, Oregon, Idaho, Texas and Florida.
Job Summary
Performs utilization review for medical or behavioral health requests using utilization review criteria, technologies and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient’s condition. Supports physician decision-making,...
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.
Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providi...
