Clinical Review Clinician

Prior Authorization Reviewer RoleAs a Prior Authorization Reviewer with Centene Corporation, you will play a critical role in ensuring that our members receive the necessary care and services. Your primary responsibility will be to analyze all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance...

Job SummaryWe are seeking a skilled Utilization Management Representative I to join our team at Elevance Health. As a key member of our healthcare team, you will play a vital role in coordinating cases for precertification and prior authorization review.Key ResponsibilitiesManage incoming calls and post-service claims work, determining contract and benefit...

Job SummaryWe are seeking a highly skilled Medical Professional to join our team at Community Care Physicians. The ideal candidate will possess strong clinical skills and a passion for delivering exceptional patient care in an ambulatory setting.Key ResponsibilitiesConduct thorough examinations and write prescriptions under physician supervisionCollaborate...

Job DescriptionJob Title: Care Manager II for Behavioral HealthJob Summary: We are seeking a highly skilled Care Manager II for Behavioral Health to join our team at Elevance Health. As a Care Manager II, you will be responsible for managing psychiatric disorder facility-based and outpatient professional treatment health benefits through telephonic or...

Job Title: RN Case ManagerEddy SeniorCare is seeking a dedicated and compassionate RN Case Manager to join our team. As a key member of our interdisciplinary team, you will play a vital role in managing a caseload of patients and helping them remain as independent as possible in the community.Job Summary:This is a full-time position that requires a strong...

About the job Unit Manager for Rehab Unit - RN - Full Time Troy Center is hiring a Registered Nurse (RN) Unit Manager in Troy, NY. We are now offering a $3,000 sign-on bonus!!! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice...

About the job Unit Manager for Rehab Unit - RN - Full Time Troy Center is hiring a Registered Nurse (RN) Unit Manager in Troy, NY. We are now offering a $3,000 sign-on bonus!!! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice...

Job Summary:We are seeking a highly skilled and dedicated medical professional to join our team at Community Care Physicians. As a Physician Assistant or Nurse Practitioner, you will play a vital role in providing high-quality patient care in our ambulatory setting.Responsibilities:Practice medicine with physician supervision, including conducting...

Job SummaryWe are seeking a part-time Nurse Practitioner or Physician Assistant to join our team at Community Care Physicians. The ideal candidate will have a strong background in ambulatory healthcare and be able to work effectively with physicians to manage patient care.Responsibilities Conduct examinations and write prescriptions under physician...

Troy Family Physicians is looking for a part-time Nurse Practitioner or Physician Assistant to join their team. ResponsibilitiesPractice medicine with physician supervision including conducting examinations and writing prescriptions.Collaborate with physicians in managing acute and long-term medical needs of patients.Assess patient status by obtaining health...

Join Our Team of Healthcare ProfessionalsHueman Risk Adjustment Solutions is actively seeking skilled Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the Latham, NY area.This unique opportunity offers a flexible schedule, allowing you to achieve your professional goals on...

About the job RN - Sub Acute Unit Manager Fulton Center is hiring a Registered Nurse (RN) Unit Manager in Gloversville, NY. Now offering a $7,500 sign-on bonus!Up to $12,000 in tuition reimbursement! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses,...

Employment Type: Full time Shift: Day Shift Description: RN Care Manager - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding opportunity for a full time RN Care Manager to manage a caseload of patients and help them remain as independent as possible for as long as possible in the community, working with a comprehensive interdisciplinary...

Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Latham, NY. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed...

Troy Family Physicians is looking for a part-time Nurse Practitioner or Physician Assistant to join their team. Responsibilities Practice medicine with physician supervision including conducting examinations and writing prescriptions. Collaborate with physicians in managing acute and long-term medical needs of patients. Assess patient status by obtaining...

Job OverviewWe are seeking a skilled Nurse Practitioner or Physician Assistant to join our team as a part-time Health Risk Assessment specialist. As a Health Risk Assessment specialist, you will be conducting in-home assessments for Medicare and Medicaid members in and around Latham, NY.This position offers a unique opportunity to adapt to your lifestyle,...

Job OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner or Physician Assistant to join our team on a part-time basis. As a key member of our team, you will have the opportunity to conduct in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Latham, NY.This unique opportunity offers flexibility and...

Anticipated End Date: 2024-11-22 Position Title: Utilization Management Rep I (US) Job Description: Title: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Utilization Management Representative I will be responsible...

Job SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at Memorial Health University Medical Center. As a Licensed Practical Nurse, you will be responsible for providing high-quality patient care in an ambulatory care setting.Key ResponsibilitiesCollects and documents patient data, including physical, psychological, and educational...

Job Details Req ID: 96907 Supported Practice: 1st Advantage Dental Category: Business Assistant Location: 1207 Troy-Schenectady Rd, Latham, NY 12110 Salary: $16.00 - $23.71 per hour Position Summary:Dental Receptionist - Full Time Position Monday-Thursday 7am-5:30pm +salary range $16-$20/hr based upon experience + Benefits!! 1st Advantage Dental - Latham is...