\ Job Description Summary Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and…
\ Hybrid Role Must reside near Philadelphia, PA Summary The Provider Performance Enablement Sr. Analyst will be a key representative in Medicare…
\ Under general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost effective, quality…
\ Position Summary: Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote…
Cigna Medicare Appeals Reviewer:We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare…
\ \ Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment…
Position Summary:For this position, Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to…
\ Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective…
\ Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective…
\ \ 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…
\ \ 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,…
\ \ The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career…
\ Position Summary :Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote…
\ Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could…
\ Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business…
\ Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business…
\ \ You could be the one who changes everything for our 28 million members as a clinical professional on our Medical…
\ The Nurse Clinician \\xe2\\x80\\x93 RN is responsible for reviewing escalated clinical criteria reviews for providers/payors and prior authorization appeals assistance for…