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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...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

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...

LOCATION: Remote – must live in or near Jackson, Macon, or Haywood County, NC. Incumbent in this role is required to reside in North Carolina or within 40 miles of the North Carolina border. This position requires travel.
GENERAL STATEMENT OF JOB
The 1915(i) Waiver Care Coordinator (“Care Coordinator”) is responsible for providing proactive intervention and coordination of care to elig...

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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...

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...

Position Title
Specialty Pharmacy Accreditation Coordinator - Remote w/ limited onsite commitments
Southlake Campus
Position Summary / Career Interest:
The Specialty Pharmacy Accreditation Coordinator plays a key role within the Retail and Specialty Pharmacy Department, supporting the Assistant Director of Specialty Pharmacy in ensuring compliance with all specialty pharmacy accreditatio...

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...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...

Posting Date
08/05/2025
2000 16th St, Denver, Colorado, 80202-5117, United States of America
About DaVita
DaVita Integrated Kidney Care (DaVita IKC) is one of the largest end-to-end kidney care providers; we manage $5.5B+ in annualized medical spend through value-based partnerships. We provide comprehensive care and complex chronic condition management to 80k+ patients nationwide, whether th...

Employment Begins: 2025/2026 School Year
6.5 hours/day; 5 days/week; 189 days/year
Desired Qualifications Specific to Summit Virtual Academy:
* Advanced technical skill for data sorting, analysis, and utilization of an online learning management system
* Strong organizational and interpersonal skills
* Dedication to solution-seeking and advocating for students who seek alternati...