Nurse Reviewer I

medicalreview experience requiring guidance by more senior colleagues and/or management. Partners with more senior... medical necessity review. Conducts initial medical necessity review of exception preauthorization requests for services...

Lugar: Chicago, IL | 18/12/2025 02:12:10 AM | Salario: S/. $33.12 - 56.77 per hour | Empresa: Elevance Health

Disease Management Nurse- RN (Part-Time)

;assist in referrals to specialists if needed;assist in obtaining durable medical equipment, review pricing for high-cost... care guidelines to compare patient’s current level of care with industry standards. Use claims processing tools to review...

Lugar: USA | 18/12/2025 02:12:46 AM | Salario: S/. $31 - 36 per hour | Empresa: Personify Health

Patient Access Specialist - Part Time - Evening

intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits.... Must adhere to the Medical Center's Quality Standards and maintain a positive patient experience at all times. Responsibilities...

Lugar: Brick, NJ | 18/12/2025 01:12:43 AM | Salario: S/. $25.38 per hour | Empresa: Hackensack Meridian Health

Eligibility Specialist - Case Manager

in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices... in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services...

Lugar: Terre Haute, IN | 18/12/2025 01:12:49 AM | Salario: S/. $16.5 per hour | Empresa: DFR

Ambulatory Care Navigator, MA (Medical Assistant)

Title Ambulatory Care Navigator, MA (Medical Assistant) Supports ambulatory care management team and primary care... practices, consulted specialists, managed care, other members of the health care team, and patients/families to ensure the...

Lugar: USA | 18/12/2025 01:12:07 AM | Salario: S/. No Especificado | Empresa: Bronson Healthcare

Patient Access Specialist - Full Time - Day

intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits.... Must adhere to the Medical Center's Quality Standards and maintain a positive patient experience at all times. Responsibilities...

Lugar: Belle Mead, NJ | 18/12/2025 00:12:51 AM | Salario: S/. $25.38 per hour | Empresa: Hackensack Meridian Health