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This position is available fully remote in Washington State.
Job Summary
Responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital notification. Utilizes knowledge of Medicare and Medicaid guidelines in order to facilitate and comply with the UM processes in data entry of authorization requ...

Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a ...

Donor Network West’s mission is to save and heal lives through organ and tissue donation for transplantation and research.
At Donor Network West, we're looking for people who embody our core values: passion, excellence, equity and inclusion, and relationships. We welcome diverse perspectives and foster an environment of collaboration and service.
POSITION SUMMARY
The Organ Allocation Coordin...

POSITION SUMMARY:
The Utilization Review Authorization Coordinator Lead will work with Utilization Review Authorization Coordinators and other facility staff to coordinate the appropriate information and actions necessary to ensure proper authorizations are obtained for care of patients. Identify and review denial patterns while working with UR Managers, UR Educators, and Care Management Team t...

The Population Health Specialist I Provides operational support for the Case, Condition Management, Quality, Wellness, Pharmacy, Government Relations, and Utilization Management Departments including, but not limited to requesting and extracting medical records and provider outreach for HEDIS, Health Risk Assessments, Primary Care Provider Attributions, CIOX medical records, and incoming and ou...

The Population Health Specialist I Provides operational support for the Case, Condition Management, Quality, Wellness, Pharmacy, Government Relations, and Utilization Management Departments including, but not limited to requesting and extracting medical records and provider outreach for HEDIS, Health Risk Assessments, Primary Care Provider Attributions, CIOX medical records, and incoming and ou...

Discover. Achieve. Succeed. #BeHere
Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.
This job is REMOTE.
FTE: 1.000000
Shift: 1st
Job Summary:
The Self Pay Coordinator is the central point person for financial assistance functions and responsible for processing and ensuring policies are adhered too. This person is responsible for monitoring processes and performa...

LOCATION: Remote - this is a home based, virtual position that operations Monday-Friday from 8:30am - 5:00pm EST. This person must reside in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB
The Clinical Appeals Specialist RN is responsible for the clinical review, consultation and the generation of the Vaya Medicaid and State denial and appeals processes. This includ...

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Solar Maintenance Coordinator Remote Job - United States | Posted - 01/13/23 Apply Easy Apply Overview
* Work remotely to drive excellence i...

JLL empowers you to shape a brighter way.
Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep ex...

LOCATION: Remote – t his is a home based, virtual position that operations Monday-Friday from 8:30am - 5:00pm EST. This person must reside in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB
The Clinical Appeals Specialist RN is responsible for the clinical review, consultation and the generation of the Vaya Medicaid and State denial and appeals processes. Thi...

LOCATION: Remote – covers Franklin County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination...

LOCATION: Remote – covers Jackson County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination nee...

LOCATION: Remote – covers Alamance County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination ne...

LOCATION: Remote – covers Rowan County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination ne...

LOCATION: Remote – covers Wilkes County
GENERAL STATEMENT OF JOB
Complex Care Coordinator (CCC) is responsible for knowing and implementing North Carolina Department of Health and Human Services standards and organizational policies.
CCC proactively intervenes and coordinates care for Medicaid members not eligible for Tailored Care Management and who have complex care coordination n...

UR Authorization Coordinator - Remote
Mesa, AZ, USA Req #2576 Tuesday, June 20, 2023 Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing cris...

I. INTRODUCTION
A. This position is based at Raleigh Radiology Business Support Services, a business office supporting the operations of all Raleigh Radiology free-standing outpatient imaging centers, located at 5220 Greens Dairy Road, Raleigh, NC 27616, but may be a remote position as deemed appropriate.
B. The Teleradiology, Hospital, and Physician Services Specialist serves in a primary supp...

Job Description:
Position Title: Annotation Specialist II
Position Status: Full Time
Operating Company: Environmental Solutions Group - 3rd Eye
Location: Remote
Department: Digital
Reports to: Annotation Specialist - Team Coordinator I or II
COMPANY SUMMARY:
3rd Eye is disrupting the traditional Fleet Safety Video Monitoring and Telematics industries with leading high-quality media and reliable...

Job Description:
Position Title: Annotation Specialist II
Position Status: Full Time
Operating Company: Environmental Solutions Group - 3rd Eye
Location: Remote
Department: Digital
Reports to: Annotation Specialist – Team Coordinator I or II
COMPANY SUMMARY:
3rd Eye is disrupting the traditional Fleet Safety Video Monitoring and Telematics industries with leading high-quality media and ...