Coordinator - Utilization Review - CMC Utilization Management - Full Time - 8 Hour - Days
Concord, California
Job Description:Coordinates utilization review activities to ensure clinical documentation is accurate to secure mental health and addiction treatment authorizations for patients from their government or commercial health plans. This positi...
3d
| Job Type | Full Time |
Albuquerque, New Mexico
Primary Responsibilities: Conducts clinical evaluation of members per regulated timelines, determining who may qualify for complex case management based on clinical judgment, changes in member's health, social determinants, and gaps in care...
3d
| Job Type | Full Time |
Utilization Management Clinical Processor
Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your caree...
3d
| Job Type | Full Time |
Clinical Reviewer - SCA (Remote)
McLean, Virginia
Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying c...
3d
| Job Type | Full Time |
New Brunswick, New Jersey
Clinical Nurse Specialist Req #: 0000224755 Category: Nurses Status: Full-Time Shift: Day Facility: RWJ New Brunswick Department: Develop Innovation & Research Pay Range: $130,000.00 - $160,000.00 per year Location: 165 Somerset Street, New...
4d
| Job Type | Full Time |
New Brunswick, New Jersey
Clinical Nurse Specialist Req #: 0000224295 Category: Nurses Status: Full-Time Shift: Day Facility: RWJ New Brunswick Department: Develop Innovation & Research Pay Range: $130,000.00 - $160,000.00 per year Location: 165 Somerset Street, New...
4d
| Job Type | Full Time |
Minimum Data Set Specialist- Per Diem
Valley Stream, New York
Job Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, assessing residents for Medicare and managed care benefits. Ensures continuo...
4d
| Job Type | Full Time |
Engagement Specialist - IKC - Tacoma, WA
Tacoma, Washington
Posting Date11/26/2025 3401 South 19th St, Tacoma, Washington, 98405, United States of America Join DaVita Integrated Kidney Care (IKC) as an Engagement Specialist Engagement Specialist At DaVita IKC, engagement is everything. As an Engagem...
4d
| Job Type | Full Time |
New York, New York
We are constantly looking to add to our core talent. If you are seeking a career that is challenging and rewarding, a work environment that is diverse and dynamic, look no further - Haemonetics is your employer of choice. Job Details The Se...
4d
| Job Type | Full Time |
Nurse Care Manager (RN), LTSS Enrollment (Remote)
New York, New York
Summary of Position Coordinate intake functions with New York Independent Assessor (NYIA) clinical program for members who are requesting LTSS program enrollment. Complete Time Tasking Tool (TTT) for members who have a NYIA)/Maximus finaliz...
4d
| Job Type | Full Time |