Managed Care Jobs in USA

Job DetailsThe advanced practice clinician (Nurse Practitioner/Physician Assistant) within the cardiac surgery service functions as an integral member of a multidisciplinary acute care team collaborating closely with cardiac surgeons intensivists and nursing staff. The APC provides comprehensive per...

Job DetailsReviews payor denials and audits for potential lost revenue. Writes comprehensive factual arguments to present to third-party payers medical review boards or other responsible parties applying clinical criteria to establish medical necessity. Functions as a hospital liaison with external...

Job DetailsFull Time Evening ShiftJob DescriptionJob SummaryUnder the direction of a radiologist or physician the Ultrasound Technologist utilizes diagnostic ultrasound equipment to perform general examinations in order to produce ultrasound images of the body for diagnostic purposes and interventio...

Job DetailsThe Student Work Study position provides currently enrolled university students with part-time employment opportunities that support departmental operations while fostering professional growth and skill development. Student employees may be federally funded through the Federal Work-Study...

Job DetailsThe advanced practice clinician (Acute Care Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with and is an integral member of a multidisciplinary health care team. The APC provides comprehensive care on the inpatient orthopedic service...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health Ambulato...

Department:02252 AMG Elmhurst - OB/GYN: GeneralStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This role supports Clinicians and associated staff at 5 locations requiring travel to these sites and sometimes between sites same day. Currently there are no...

Job DetailsThe Graduate Medical Education (GME) Manager has oversight and responsibility for all GME centralized and residency processes and program functions in support of Jefferson Health Graduate Medical Education (GME) accredited and sponsored programs including programs accredited by the ACGME...

IntroductionThis examination is being given to fill 1 vacancy in the San Joaquin General Hospital and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing dead...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health. Develo...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health. Develo...

Job Title: Business Analyst - Intermediate (Onsite) Location: Columbia SC Duration: 12 Months Job Description: The Client is seeking a Business Analyst-Intermediate who is responsible for gathering program requirements to generate monitoring and tracking templates developing policies and procedur...

Will close to submissions on 06/03 at 5:00PM EST. Interview Process: 1 round Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Fully Onsite Candidate Location: Candidate MUST be a SC resident - no relocation allowed. Objectives to Be Fulfille...

Nurse Practitioner Primary Care Position Details Position Type: Full Time Shift: Day Education Required: Graduate Degree Travel: Up to 25% Position Overview Seeking a full-time Family Nurse Practitioner (FNP) to provide comprehensive primary care services for adult and pediatric populations. R...

Job Title: Lead Care Manager / Community Supports & Housing Navigation Specialist Position Type: 12-Month W2 Contract (renewal based on performance and program continuation) Schedule: Monday Friday 9:00 AM 5:30 PM PST Compensation: $22 $24/hour mileage reimbursement Work Model: Fie...

Job Title: Lead Care Manager / Community Supports & Housing Navigation Specialist Position Type: 12-Month W2 Contract (renewal based on performance and program continuation) Schedule: Monday Friday 9:00 AM 5:30 PM PST Compensation: $22 $24/hour mileage reimbursement Work Model: Fie...

About Search FirmThis position is being facilitated by Pathway Talent Solutions Group a specialized recruitment and talent advisory firm. We partner with organizations to identify engage and place exceptional talent. Candidates will be supported throughout the process with clear communication guidan...

Job OverviewThird-Party Administrator (TPA)We are seeking an experienced and compassionate Registered Nurse to join our team in a dynamic dual-role position combining Case Management and Utilization Review responsibilities within a Third-Party Administrator (TPA) environment.This role is ideal for a...

What would you do The SpecificsEnsures high quality customer service while following all safety protocols.Ensures a smooth flow of customers through the store.Answers screens and forwards incoming phone calls in accordance with National Vision protocol.Processes and understands managed care plans w...

What would you do The SpecificsEnsures high quality customer service while following all safety protocols.Ensures a smooth flow of customers through the store.Answers screens and forwards incoming phone calls in accordance with National Vision protocol.Processes and understands managed care plans w...