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Care Manager BH / RN, Remote PA

Responsible for promoting integrated health practices through assessment, care planning and coordination of care and services.Includes ongoing monitoring of an appropriate and effective person-centered care plan, member education on health-related...

Personal Financial Counselor, Assignment Ready ...

<p></p><p></p>This position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors...

Investigator, Special Investigative Unit Coding...

JOB DESCRIPTIONProvides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse...

Remote Lead, HCS - Data-Driven Responsibilities...

JOB DESCRIPTION Opportunity for an experienced, bilingual health care professional with at least 4 years of healthcare experience and at least 2 years of experience working in Care Management within a...

Supervisor, Healthcare Services (Remote in FL -...

<strong>JOB DESCRIPTION Job Summary<br><br></strong>This position will offer remote work flexibility, but the selected candidate must reside in Florida.<br><br>Candidates for this position must be available and willing to work a shift...

Medical Review Specialist – I

Job Description: Responsible for meeting all State and Federal regulations Responsible for accurate and timely medical review of claims and preauthorization's Responsible for accurate and timely medical review of Customer...