Managed Care Jobs in USA

Company DetailsCompany URL: Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured workers successful and speedy return to work is good for people and good for Berkleys insurance operating units. B...

Job SummaryPrepares and assists physician/provider in the examination and treatment of patients in the medical office. Ability to assist physician/provider with examinations diagnostic processes and treatments. Arranges diagnostic testing and hospital admission. Obtains insurance authorizations. Sch...

Job DetailsRN Case Manager - Utilization Management - Day ShiftMon - Fri (Hours: 8 a.m. to 4:30 p.m.) Weekend requirements based on unit needs. Elkton MDChristianaCare - Union Hospital is seeking Utilization Management Nurse with experience in Utilization Management and Acute Care. The RN will be re...

POSITION DESCRIPTION: PHYSICAL THERAPISTPOSITION SUMMARY: The Physical Therapist (PT) is a licensed health care professional that administers Physical Therapy to adult patients requiring part-time intermittent visits and assesses their therapeutic needs. The therapist works as a member of an interdi...

DescriptionThe Medical Office Specialist offers clinical and medical office support to physicians and in patient care and administrative duties necessary to deliver quality patient care. Performs various duties as a member of the health team in the treatment and care of patient and their families a...

DescriptionThe Medical Office Specialist offers clinical and medical office support to physicians and in patient care and administrative duties necessary to deliver quality patient care. Performs various duties as a member of the health team in the treatment and care of patient and their families a...

DescriptionAs a Medical Claim Field Auditor you will apply your medical claims audit project management and claim processing and auditing experience to perform self-insured client audits. You will serve as a team member on audits evaluate claims for accuracy and identify potential errors and issues....

SUBSIDIARY: Joseph J. Peters Institute (JJPI)PROGRAM: Adult Safety & Responsibility (SRP)ROLE TYPE: Fee-for-Service/ContractJoseph J. Peters Institute a nationally recognized provider serving children adolescents and adult survivors of trauma as well as individuals who engage in problematic sexual b...

DescriptionThe Medical Office Specialist offers clinical and medical office support to physicians and in patient care and administrative duties necessary to deliver quality patient care. Performs various duties as a member of the health team in the treatment and care of patient and their families a...

Our CompanyAmeritaOverviewAmerita Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Billing Specialist will report to the Billing Manageran...

DescriptionAs a Medical Claim Lead Auditor you will apply your audit project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors re-adjudicate claim...

DescriptionInova Loudoun Hospital Behavioral Health is looking for a dedicated Social Worker Case Manager 1 to join the Loudoun Adult Medical Psychiatric Services (LAMPS) Team. This role will be Full-Time Day shift Monday-Friday. No Weekends. No Holidays.Inova is consistently ranked a national healt...

Program: NursingDepartment: Health ServicesReports to: Nurse ManagerStatus: 100% Full-Time Exempt RegularProbation: 180 daysBenefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) Retirement PlanCenters Mission:Building a world whe...

Cost Center151 Contact CenterScheduled Weekly Hours16Work ShiftFirst Shift (United States of America)Shift & StatusInternship start dates include May 2026 and August 2026.Who Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for men...

Employment Type:Full timeShift:Day ShiftDescription:POSITION PURPOSEWork Hours: 8:30 a.m. to 5:00 p.m. (EST) - Monday thru FridayWork Remote Position(Pay Range: $19.2123-28.8184)Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business S...

At Always Best Care our focus is providing our patients with personalized and quality skilled care in the comfort of their own home. Our dedicated professional staff of nurses therapists social workers and home health aides work in unison with the patients families and physicians to ensure positive...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:Not SpecifiedOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.150 - $28.950 - $32.420The stated pay scale reflects the range that Sharp reaso...

On Lok PACEWe are a non-profit committed to our participants.Dedicated to The Care of Elders:PACE (Program of All-Inclusive Care for the Elderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it is better for the well-being o...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

The Senior Compliance Analyst is responsible for supporting and overseeing the day-to-day operations and execution of the compliance and privacy programs within Moms Meals. Duties include managing formal client/payor grievances critical incident investigation and reporting policies and procedures an...