Nurse Case Manager

Job OverviewThe Enterprise Engineering team is seeking an experienced Nursing Case Manager to join our dynamic healthcare organization.This role is ideal for a motivated and detail-oriented nurse with a passion for delivering high-quality patient care.In this position, you will be responsible for conducting medical necessity reviews for assigned members,...

About the RoleThe Medical Management Specialist will be responsible for performing prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members.You will review cases for medical necessity and apply the appropriate clinical criteria, including Medicare, Medicaid, Interqual, Milliman, and Health Plan specific guidelines.

About the RoleWe are seeking an experienced Nurse to join our team as a Medical Management Nurse with Enterprise Engineering.This role offers a unique opportunity to apply your clinical expertise in a fast-paced environment, driving quality healthcare outcomes for our members.You will be responsible for conducting medical necessity reviews, collaborating...

We are looking for a highly motivated Regional Account Manager - Pain Management to join our team in Fort Worth, Texas. This role is responsible for developing and maintaining relationships with surgeons, physicians, therapists, nurses, clinicians, department decision makers, and administrators within assigned accounts or markets.The ideal candidate will...

ResponsibilitiesDevelop and maintain relationships with surgeons, physicians, therapists, nurses, clinicians, department decision makers and/or administrators within assigned accounts or markets.Manage a Capital Sales Funnel, as well as increase utilization at existing accounts.Drive contract management, including local price negotiations.

We are looking for a highly skilled and detail-oriented Member Outreach Coordinator Specialist to join our Client Services team. As a key member of our team, you will be responsible for making outreach calls to members regarding cases entered by contracted health plans, ensuring that the necessary information is gathered before the cases are assigned to a...

We are seeking a detail-oriented and communicative individual to join our Client Services team as a Client Service Liaison. The primary responsibility of this role is to make outreach calls to members regarding cases entered by contracted health plans, ensuring that the necessary information is gathered before the cases are assigned to a consultant for...

Pain Management Sales Job Description:We are seeking a highly motivated and results-driven Pain Management Sales Representative to join our team. As a key member of our sales team, you will be responsible for meeting or exceeding sales objectives for our surgical pain management products, including On-Q and Ambit Pump Pumps.Key Responsibilities:Develop and...

About UsAvanos Medical is a leading medical device company focused on delivering clinically superior breakthrough solutions that help patients get back to the things that matter. Our team is dedicated to creating innovative healthcare solutions that address the most pressing healthcare needs, such as reducing the use of opioids while helping patients move...

Job DescriptionThe Periscope Group is seeking a detail-oriented and communicative Member Outreach Coordinator to join our Client Services team. The primary responsibility of this role is to make outreach calls to members regarding cases entered by contracted health plans. This critical step in the process ensures that the necessary information is gathered...

Solventum OverviewAt Solventum, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Our company is committed to providing breakthrough solutions for our customers' toughest challenges.Job DescriptionWe are...

**About Avanos Medical**A medical device company focused on delivering clinically superior breakthrough solutions to help patients get back to what matters.We're passionate about making a difference in our products, services, and offers, as well as how we work and collaborate. Our goal is to create groundbreaking solutions for healthcare challenges...

Job Title: Surgical Pain Product ManagerWe are seeking a highly motivated and experienced sales professional to join our team as a Surgical Pain Territory Manager at Avanos Medical. As a key member of our sales team, you will be responsible for driving business growth and making a difference in the lives of patients by developing and executing strategies to...

C Suite Assets Seeks Experienced Professional for HEDIS RoleAbout the OpportunityC Suite Assets, a leader in healthcare operations transformation, is seeking an experienced HEDIS Specialist to play a critical role in enhancing healthcare quality for our clients. As a member of our team, you will oversee the annual HEDIS reporting process, analyze performance...

Job DescriptionWe are seeking a highly skilled and experienced veterinarian to join our team as a Consulting Veterinarian in Clinical Toxicology (CVCT). As a CVCT, you will play a critical role in managing cases involving animals exposed to potentially dangerous substances. Your responsibilities will include case management, providing detailed diagnostic and...

Estimated Annual Salary: $120,000 - $150,000A competitive salary is offered for this role as a Pain Management Specialist at Avanos Medical in Atlanta, GA. This position comes with an estimated annual salary of $120,000 to $150,000, depending on experience.The successful candidate will be responsible for meeting or exceeding sales objectives of Surgical Pain...

Avanos Medical: A Leader in Surgical Pain Management">We are seeking a highly skilled Strategic Account Manager, Surgical Pain to join our team at Avanos Medical. As a key member of our sales force, you will be responsible for driving business growth and expanding our presence in the surgical pain management market.Key Responsibilities:">">Develop and...

We are seeking an experienced Territory Manager to join our team in Fort Worth, Texas. As the Interventional Pain Territory Manager, you will be responsible for meeting or exceeding sales objectives of Interventional Pain products, including Capital purchases and consumable product lines. This role requires working a Capital Sales funnel and driving...

Job Description:The Davinci Company is a leading provider of generic pharmaceuticals, medical supplies and equipment to federal government agencies. We are seeking experienced professionals to join our team as Medical Equipment Business Development Managers.Key Responsibilities:Federal Sales Strategy: Develop and execute strategic plans to identify and...

About UsAt Avanos Medical, we are committed to delivering clinically superior breakthrough solutions that help patients get back to the things that matter. Our team is dedicated to creating innovative healthcare solutions that address the most pressing healthcare needs, such as reducing the use of opioids while helping patients move from surgery to...