Pre-Authorization Coord Job (Harrisburg, PA, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticlePre-Authorization Coord Job (Harrisburg, PA, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticleBehavioral Health Case Mgr Job (St. Louis, MO, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleConcurrent Review Coord Job (Scottsdale, AZ, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
View ArticleBehavioral Health Case Mgr (Part-Time) Job (St. Louis, MO, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleQuality Improvement Coord Job (Richmond, VA, US)
Description:Coventry Health Care, Inc., a local leader in the managed care industry, has an opening for a Quality Improvement Coordinator who will be responsible for the research and identification of...
View ArticleBehavioral Health Case Mgr Job (St. Louis, MO, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleEAP Clinician Job (Austin, TX, US)
Description:GENERAL SUMMARYEvaluates members specific healthcare and/or life management needs to facilitate the development and implementation of a plan that efficiently uses available healthcare...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleBehavioral Health Case Mgr Job (Casselberry, FL, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticlePre-Authorization Coord Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticleBehavioral Health Case Mgr Job (Casselberry, FL, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleComplex Discharge Planner Job (Casselberry, FL, US)
Description:GENERAL SUMMARYResponsible for working with high risk members who have been admitted to a clinical care facility to identify those with specific behavioral health needs requiring intensive...
View ArticleConcurrent Review Coord Job (Scottsdale, AZ, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
View ArticleQuality Improvement Coord Job (Newark, DE, US)
Description:- GENERAL SUMMARYResponsible for the research and identification of quality of care issues to ensure compliance with Coventry’s quality improvement programs as well as accreditation and...
View ArticleConcurrent Review Coord Job (Louisville, KY, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
View ArticleUR Nurse (WC)-LPN or RN- Hazelwood, MO Job (Hazelwood, MO, US)
Description:GENERAL SUMMARYResponsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency in accordance with...
View ArticleClinical Appeals Coordinator LPN/RN Job (Metairie, LA, US)
Description:GENERAL SUMMARYResponsible for coordinating grievance appeals activity and ensuring compliance with State and Federal regulations and accrediting bodies.ESSENTIAL RESPONSIBILITIES-...
View ArticlePre-Authorization Coordinator, RN/LPN Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticleConcurrent Review Nurse - RN/LPN Job (Atlanta, GA, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
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