Um Member Liaison

**Summary**: Under the direction of the Supervisor, Clinical Operations (COPS), the Specialist, COPS primary responsibility is to support a strategic approach to the development of actionable recommendations that improve the quality, access, and sustainability of MedPOINT’s clients’ network. **Duties and Responsibilities**: - Member of MPM’s COPS...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager  will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...

Job Family: MED > Licensed Nurse - Type: Full time - Date Posted: Apr 24, 2024 - Anticipated End Date: May 01, 2024 - Reference: JR112445 **Description**: **Nurse Appeals **Schedule: Monday**: - Friday 8:00 am to 4:30 pm PST Saturdays and Holidays required** The **Nurse Appeals **is responsible for investigating and processing and medical necessity...

Job Summary: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation of a chronic...

**Job Summary**: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation of a...

Description: Job Summary:Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation...

Job Family: CUS > Care Support Type: Date Posted: May 31, 2024 Anticipated End Date: Jun 12, 2024 Reference: JR118718 Description **Referral Specialist I** **Sign-On Bonus: $1000.00** **Build the Possibilities. Make an extraordinary impact.** A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.This position will travel to counties in the Inland Empire areaPosition...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including...

Medical Management Specialist II Location : This position will work in a remote model. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. *Hours: Monday - Friday 8:00 AM - 5:00 PM PST with occasional weekends and/or holidays as needed The Medical Management Specialist II is responsible for providing non-clinical...

Overview The Service Advisor is the center of communication for service/repair activities and the liaison between customers and the technicians. Serving as the primary point-of-contact for all automotive service and repair matters, the Service Advisor must listen and thoroughly understand customer problems, arrange for appropriate service/repairs, and...

The Service Advisor is the center of communication for service/repair activities and the liaison between customers and the technicians. Serving as the primary point-of-contact for all automotive service and repair matters, the Service Advisor must listen and thoroughly understand customer problems, arrange for appropriate service/repairs, and set/manage...

We are seeking a 1st Shift Environmental Services Manager at Kaiser Permanente Woodland Hills in Woodland Hills, CA. As an EVS Manager you will be responsible for managing the associates in the Environmental Services department with the oversight of the Unit Director.  You will serve as a liaison between hospital departments and the Environmental...

We are seeking a 1st Shift Environmental Services Manager at Kaiser Permanente Woodland Hills in Woodland Hills, CA. As an EVS Manager you will be responsible for managing the associates in the Environmental Services department with the oversight of the Unit Director. You will serve as a liaison between hospital departments and the Environmental Services...

Lead/Senior Java and Angular EngineerCognizant's Digital Engineering practice is seeking a highly qualified Java/Angular Engineer with experience in Java and spring boot microservices, developing and building hard-working, scalable, enterprise applications. You will be part of a digital software team that works on high-demand applications. Our Engineers have...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager  will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...

Job DescriptionJob DescriptionThe Care Team The care you deserve and the support you need.Come join our growing team! The Care Team Home Health & Hospice is looking for a Full-Time Business Development Manager in Macomb, MI, and surrounding areas. We specialize in providing Hospice Care in the home and facilities. If you are looking for a new and exciting...

Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise lines of business. Your...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - ICU in Woodland, CA.Why Choose Host Healthcare?Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home. Starting the day you...

40,000 Student Loan Repayment or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program Optum Home Based Medical Care  This is a Full-Time Opportunity!* Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions...