Medical Reviewer III - Managed Care Project (MCP)

, you will be a critical contributor to meeting CoventBridge Group's objective: To provide services to our clients that exceed... Review information contained in project plan to ensure claims are paid correctly, documentation supported services...

Lugar: Grove City, OH | 21/12/2025 03:12:00 AM | Salario: S/. $65000 - 75000 per year | Empresa: CoventBridge

Director Care Management

to excellence in healthcare management? Do you excel in driving performance improvement and championing effective care delivery... of care, fostering integrated services while maintaining fiscal responsibility. What You’ll Do: Improving Performance...

Lugar: Fortuna, CA | 21/12/2025 03:12:41 AM | Salario: S/. No Especificado | Empresa: Providence

Clinical Manager

, services, standards, policies and procedures Excellent knowledge and understanding for clinical care principles, techniques... and their family members Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database...

Lugar: Pembroke Pines, FL | 21/12/2025 03:12:31 AM | Salario: S/. $52775 - 75393 per year | Empresa: ChenMed

Supervisor, Clinical Operations

Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs... Specialists, guiding a team that includes medical assistants, certified nursing assistants, community health workers, and peer...

Lugar: San Mateo, CA | 21/12/2025 03:12:10 AM | Salario: S/. No Especificado | Empresa: Upward Health

Utilization Management Nurse Specialist RN II

/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities... programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality...

Lugar: Los Angeles, CA | 21/12/2025 03:12:04 AM | Salario: S/. No Especificado | Empresa: L.A. Care Health Plan

Case Manager Long-term Care - Delaware

involves working directly with members in their homes and also requires providing case management services within nursing... facility settings. The incumbent will travel to members’ homes, nursing facilities, and other community-based settings...

Lugar: Delaware | 21/12/2025 02:12:32 AM | Salario: S/. No Especificado | Empresa: Highmark Health

Travel Clinical Research Coordinator

locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly... services reach the world. Together, we are building a future of health that is better and more accessible for all. To learn...

Lugar: Orlando, FL | 21/12/2025 02:12:54 AM | Salario: S/. $70000 - 100000 per year | Empresa: Care Access