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Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $90,000.00 - $100,000.00 Salary Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner III _ (Hybrid)
This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the appli...

Sr. Supervisor, Infusion Nursing
Candidates for this position should reside in central Ohio , and will supervise nurses working throughout the state of Ohio .
This is a hybrid role between Work at Home, and in-office in Dublin, OH .
What You’ll Do :
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Provide specialized infusion therapies and clinically excellent professional nursing services to patients and caregivers at home or ...

We have an opportunity to join the Alliance as a Concurrent Review Nurse (RN) in the Utilization Management Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Utilization Management Supervisor, this position:
* Performs concurrent or post-service (retrospective) review of acute in-patient care services using established criteria
* Participates in the Utilization M...

Job Introduction
Maximus is hiring for a Training Coordinator to support the New York Independent Assessor Program (NYIAP). The Training Coordinator will design, develop, and implement training materials in a classroom-style training environment. The Training Coordinator will work closely with the training leadership team to assess the impact of each training course to ensure trainees are succe...

Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and...

Become a part of our caring community and help us put health first
Humana Healthy Horizons is more than a health plan. We’re human care. Humana Healthy Horizons focuses on helping people achieve their best health. Our dedicated strategies across various markets and states are enabled by partnerships with state and local governments, community-based organizations, and national partners commit...

PerformSpecialty is a full-service specialty pharmacy. Our goal is to provide personalized patient care and better access to achieve healthier outcomes. Each patient works with a Patient Care Coordinator who, along with the prescriber, creates a program to treat each condition individually and works to involve the patient in his or her own health.
We know that successful treatment requires paye...

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hos...

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hos...

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hos...

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hos...

Job summary
We are seeking a receptionist to join our practice of 9400+ patients.
37.5 hours per week and must be available for afternoon shifts. This is a part remote working role.
Receptionist work is between the hours of 07:45 to 18:30 Monday to Friday. The successful candidate will need to be hard-working, flexible and enthusiastic. We are looking for a capable individual who is able to...

Job Details
Job Location: Sacramento - Rancho Cordova, CA Position Type: Seasonal Education Level: High School Diploma or GED Salary Range: $85,000.00 - $95,000.00 Salary/year
Claims Examiner III (Hybrid)
SIP Certification Required
POSITION SUMMARY: At the Direction of the Claims Supervisor and/or Manager - manages all aspects of complex and litigated indemnity claims from ...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Temporary Education Level: High School Diploma or GED Salary Range: $85,000.00 - $95,000.00 Salary Job Shift: Day Job Category: Insurance
Description
This is a Hybrid position. Position needs SIP certification.
POSITION SUMMARY: At the Direction of the Claims Supervisor and/o...