Performs initial and ongoing clinical assessments via telephone calls to clients for the purpose of assessing client's situation with regards to healthcare needs, cultural implications and support systems in place.…
Receive, document and respond to all contacts including member, client and pharmacy inquiries about Benecard PBF benefits, policies and procedures Investigate and resolve member complaints and concerns in cooperation…
Job Description: Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Are you an experienced ER Case Manager in Fresno looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered…
Are you an experienced ER Case Manager in Grand Rapids, MI looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you…
Day to Day Duties : Customer service representative in inbound clinical call center Answer an array of questions from policy members (ID cards, primary care physicians, specialists, etc.) Multi-task to perform data…
Daily Responsibilities: • Customer service representative in inbound clinical call center • Answer an array of questions from policy members (ID cards, primary care physicians, specialists, etc.) • Multi-task to…
Are you an experienced CSR / Member Service Rep / Customer Service Rep / Healthcare Admin looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a…
About the Job: Strictly telephonic Working as a case/care manager for all ages from Peds to Geriatric, coordinating services and identifying barriers to care (Medicare & Medicaid members). Keeping patients on track…
This person will take patient calls when they need additional or new products. They will answer questions, order supplies and call the doctors office to verify that the patient can have these supplies. If there are any…
Job Title: RN Case Manager Are you an experienced RN with Case Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a…
Summary of Duties: Working with the inbound call center taking calls from members and providers from 3 state plans to handle eligibility, benefit and payment questions-this is 100% inbound calls! This is a high volume,…
We are aggressively seeking an Ambulatory Case Manager RN to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take advantage of flexible…
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care * 100% telephonic…
Are you an experienced Registered Nurse with Case Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing…
Daily Responsibilities: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient and outpatient care settings Goal is to determine whether or not the…
Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to…
Job Title: RN Field Case Manager Are you an experienced Registered Nurse with Case Management/Pediatrics experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance…
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