Medical Management Specialist I

Job SummaryThe Medical Management Specialist I is a key member of the Medical Management team, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key...

Job SummaryThe Medical Management Specialist I is a key member of our team, providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key ResponsibilitiesGather clinical information regarding...

Job Summary:The Medical Management Specialist I is a key role within our organization, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This position requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key Responsibilities:Gather...

Job Summary:The Medical Management Specialist I is a key member of our team, providing critical support to the Medical Management and Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare principles, as well as excellent communication and organizational skills.Key Responsibilities:Provide non-clinical support to...

Job SummaryThe Medical Management Specialist I provides non-clinical support to the Medical Management and/or Operations areas. This role is responsible for gathering clinical information, determining the appropriate area to refer or assign cases, and providing information regarding network providers or general program information when requested.Key...

Job Title: Medical Management Specialist IIJob Summary:We are seeking a highly skilled Medical Management Specialist II to join our team at Elevance Health. As a Medical Management Specialist II, you will play a critical role in providing non-clinical support to medical management operations, handling complex file reviews and inquiries from members and...

Job SummaryConvergence Medical Staffing is a leading provider of medical staffing solutions. We are seeking a skilled Medical Imaging Specialist to join our team. As a Medical Imaging Specialist, you will be responsible for operating medical imaging equipment to produce high-quality images for diagnostic purposes.Key ResponsibilitiesOperate medical imaging...

Job SummaryThis is an entry-level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service.The ideal candidate will have a strong attention to detail, excellent communication...

About UsBartlett & West is a leading engineering, architecture, and technology firm with a strong presence in the Midwest. Our employee-owned company prioritizes service to clients, communities, and each other, fostering a culture of discipline and excellence.Job SummaryWe are seeking a highly skilled Project Manager I to lead the complete management of...

Clinical Support Specialist**Job Summary**Providence Medical Center is seeking a highly skilled Clinical Support Specialist to join our team. As a Clinical Support Specialist, you will be responsible for assisting physicians with patient care, clerical, environmental, and organizational tasks. You will also be responsible for appointment scheduling, chart...

Job Title: Foster Care Programs Case Manager IAt Elevance Health, we are seeking a highly skilled and compassionate Foster Care Programs Case Manager I to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional care and support to our foster care population.Key Responsibilities:Conduct thorough assessments to...

Core Medical-Perm is seeking a skilled Medical Care Professional for a nursing position in a Med Surg setting. Job Details Specialty: Med Surg Discipline: Nurse Specialist Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Requirements: 1 year of experience as a Nurse Specialist required. Acute care experience necessary. Additional...

CoreCare Utilization Management SpecialistVitalCore Health Strategies is seeking a highly skilled CoreCare Utilization Management Specialist to join our team. As a key member of our Utilization Management team, you will be responsible for reviewing and analyzing medical data to ensure accurate and timely authorization of patient services.Key...

Job Title: Medical Equipment Delivery SpecialistAre you looking for a challenging and rewarding career in the healthcare industry? We are seeking a Medical Equipment Delivery Specialist to join our team at National HME.Job Summary:We are a leading provider of durable medical equipment and services, and we are committed to delivering exceptional care to our...

Job Title: CoreCare Utilization Management SpecialistVitalCore Health Strategies is seeking a highly skilled CoreCare Utilization Management Specialist to join our team in Kansas. As a key member of our team, you will be responsible for reviewing and analyzing medical data to ensure accurate and timely authorization of patient services.Key...

Job Summary:This position provides services to individuals with intellectual and/or developmental disabilities living in their own homes or community living alternatives. The Case Manager I/II will obtain in-depth social histories, develop and assure community and/or agency resources to meet the consumer's needs, and serve as a Qualified Intellectual...

Job Summary:This position provides services to individuals with intellectual and/or developmental disabilities living in their own homes or community living alternatives. The Case Manager I/II will obtain in-depth social histories, develop and assure community and/or agency resources to meet the consumer's needs, and serve as a Qualified Intellectual...

Job Title: CoreCare Utilization Management SpecialistJob Summary:VitalCore Health Strategies is seeking a skilled CoreCare Utilization Management Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing patient data to ensure accurate application of clinical and benefits administration procedural guidelines....

About this OpportunityWe are seeking a highly skilled Registered Nurse to join our Neuro PCU team at Research Medical Center. As a Comprehensive Stroke Care Specialist, you will play a critical role in providing high-quality patient-centered care to patients suffering from stroke and other neurologic conditions.Key ResponsibilitiesAssess patient condition...

Job Summary:We are seeking a skilled Special Programs Case Manager I to join our team at Elevance Health. As a key member of our team, you will be responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Your primary goal will be to manage overall healthcare costs...