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Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served...

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s ser...

Job Number: 7083
Workplace Type: Fully Remote
Position Title: Nurse Health Specialist
External Description:
Overview of the Role:
Alignment Health is seeking a remote LVN or RN nurse health specialist (must be licensed in California) for a long-term temporary engagement (with medical benefits) to provide triaging service for patients who call into the Alignment Health virtual care center...

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!
Job Title:
RN Case Manager - Hospital (Remote In Wisconsin)
Cost Center:
301351004 MfdHos-Case Mgmt-Soc Svcs
Scheduled Weekly Hours:
40
Employee Type:
Regular
Work Shift:
Mon-Fri; day shifts (United States of America)
Job Description:
JOB SUMMARY
The RN Case Manager ...

Introduction
Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Charge Entry Specialist-WFH opening with Texas Back Institute today and find out what it truly means to be a part of the HCA Healthcare team.
Benefits
Texas Back Institute, offers a total rewards package that supports the health, life, career and retirement of our colleagues...

We are building a World Class Service Center and invite you to join a team of people who are committed to a core objective of supporting life changing service and providing professional expertise to the operations and leaders we support.
About the Company
Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and ho...

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...

Description
Do you wake up every morning inspired to solve problems and make a meaningful impact in healthcare? If so, we want to hear from you.
At Innovista Health, we're leading the effort to drive transformative change in healthcare. We are a full-service value-based care and managed service organization that partners with independent providers to help them navigate, succeed, and thrive i...

Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position, you see is right for you, we encourage you to apply! Our people make all the difference in our success.
This is a work from home opportunity from anywhere within the US....

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-...

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...

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...

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...

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...

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.
...

Job Requirements include, but not limited to:
This position will be Mon-Fri 8 hour shifts with every other weekend (Tuesday ALT Day).
* Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C
* Ability to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ens...

Job Requirements include, but not limited to:
This position will be Mon-Fri 8 hour shifts with every other weekend (Tuesday ALT Day).
* Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C
* Ability to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ensure...

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,...