Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
6d
| Job Type | Full Time |
instED Virtual Medical Control Physician (Part Time - $120.83 per or Mountain Time)
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
6d
| Job Type | Part Time |
Medical Director, Ohio Market(Geriatrics, Internal Medicine, Family Practice Preferred)
Dayton, Ohio
Job Summary: The Medical Director, Ohio Market is responsible for participating in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality stan...
6d
| Job Type | Full Time |
Community Based Care Manager - Clark County
Eureka, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
6d
| Job Type | Full Time |
Community Based Care Manager - Clark County
Winnemucca, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
6d
| Job Type | Full Time |
Hybrid Registered Nurse (RN) Care Manager - Brooklyn
Brooklyn, New York
ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New ...
6d
| Job Type | Full Time |
Community Based Care Manager - Clark County
Elko, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
6d
| Job Type | Full Time |
Indianapolis, Indiana
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
6d
| Job Type | Full Time |
Community Based Care Manager - Clark County
Battle Mountain, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
6d
| Job Type | Full Time |
Community Based Care Manager - Clark County
Las Vegas, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
6d
| Job Type | Full Time |