The Care Manager (RN) is responsible for concurrent utilization review, discharge planning, and authorization of hospitalized Brown & Toland members. Will perform…
RN Supervisor of Clinical Appeals Portland, OR; Salem, OR; Seattle, WA; Tacoma, WA; Salt Lake City, UT; or Lewiston, ID Join a team that drives quality in health care…
Little Sisters of the Poor serve the elderly in thirty-one countries, including thirty-two homes in North America. The Jeanne Jugan Residence provides a continuum of…
Summary: To assess, plan, refer, coordinate and evaluate the home care needs and service for patients consistent with HDA's philosophy, policy, and standard of practice, to…
Director, Clinical Services Position Summary: The Director of Clinical Services runs the Clinical Services Department which provides care coordination to individual…
Director, Medical Management Position Summary: The Director of Medical Management provides clinical leadership and administrative guidance to the Medical Management…
Position Summary : The Medical Management Auditor audits the work of staff to improve their adherence to clinical guidelines in the Utilization Review process, (Experience…
Position Summary: The Review Nurse promotes and restores patient health by identifying patient care requirements. This position makes recommendations, documents findings and…
Affinity Health Plan is an independent, not-for-profit managed care company dedicated to serving the needs of low-income residents of the New York Metropolitan Area.…
Affinity Health Plan is an independent, not-for-profit managed care company dedicated to serving the needs of low-income residents of the New York Metropolitan Area.…
Company Overview Fidelis Care, the New York State Catholic Health Plan, began in 1993 with the belief that all New Yorkers should have access to affordable, quality health…
Our Mission: The mission of Fidelis Care is to ensure that every resident, regardless of income, age, religion, gender, or ethnic background, has access to quality health…
Medical Claims Review Coordinator Are you a nurse who enjoys applying your clinical experience to diverse claims analysis and bill reviews? Would you like to have the…
Nurses in this position will be responsible for working to develop clinical relationships with providers in the community to make them aware of Aetna Medicare programs and…
Regal Medical Group is an affiliated Independent Physician Association (IPA) of Heritage Provider Network. At the forefront in the search for excellence in healthcare, we…