Cigna Medicare Appeals Reviewer:We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare…
\ \ The Nurse will: Deliver professional activities in the Case Management job family. Coordinate enrollee care needs across the continuum for…
Position Summary:Plans, implements, and evaluates appropriate health care services to assist the customer throughout their Utilizes clinical skills to assess, coordinate, monitor…
Position Summary:For this position, Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to…
Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information…
\ Position Summary :Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote…
The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.For…
The Executive Medical Director (EMD), In Home Primary Care (IHPC) Clinical Operations will report to the Home Based Care Chief Medical Officer…
Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business partners,…
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be…
Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business partners,…
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services…
The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers/payors and prior authorization appeals assistance for members and…
Position Scope Hours for the Position: Must be able to work an 8 hour shift between the business hours of 9a 9p…
Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan and…
\ Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective…
\ Position Overview:The individual is accountable to the Cigna Healthcare Medicare Operations Issue Management Team. This role will serve supporting the Issue…
\ \ RN Care Coordinator Carlsbad NMThe goal of the RN Care Coordinator role is to improve care delivery of the aligned…
\ \ RN Care Coordinator Carlsbad NMThe goal of the RN Care Coordinator role is to improve care delivery of the aligned…
Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use…