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Manager, Claims and Auditing

John Muir Health
Walnut Creek, CA
Purpose of Role Performs direct supervision of a team of claims processers and internal auditors. Is responsible for efficient and effective operation of the department. Develops staff perform...

Posted: 4 days ago

Registered Nurse (RN) (Telephonic) Case Manager

Preferred One Administrative Services
Golden Valley, MN
Open Position: Registered Nurse (RN) (Telephonic) Case Manager EEO/AA PreferredOne offers individual health insurance, family medical plans and group health insurance to fit your needs and budge...

Posted: 11 days ago

Bilingual Palliative Care RN/Case Manager - San Antonio, TX

UnitedHealth Group
San Antonio, TX
Description: The Palliative Care RN/Case Manager coordinates care and provides initial ongoing nursing assessment of the patient and family needs and coordination of the patient's plan of care with i...

Posted: 1 day ago

Licensed Health Insurance Agents

Richardson, TX
The Health Insurance Licensure Program offered by Connextions (an Optum Company) offers participants the opportunity to earn their health insurance license with the assistance of our team of licensed ...

Posted: 3 days ago

Healthcare Insurance Collector

Fort Lauderdale Hospital
Fort Lauderdale Hospital is a fully licensed, 100-bed, private hospital that specializes in the treatment of drug addiction, mental health issues and co-occurring disorders for adults and adolescents....

Posted: 15 days ago

Medical Claims Examiner

S&S Healthcare Strategies Ltd
Cincinnati, OH
Sr Medical Claims cription: S&S Healthcare Strategies, Ltd is a Third Party Administrator (TPA) that provides a sophisticated line of administrative services. We provide health plan administrati...

Posted: 15 days ago

RN Case Manager

Careers Spark
Stockton, CA
RN Case Manager Stockton, CA RN Case Manager for a leading health plan to be selected for either the Quality, Inpatient, or Outpatient medical review teams. Compensation: $45-$50/hour Based...

Posted: 15 days ago

RN Case Manager for Home Health

Health Sense
San Antonio, TX
RN Case Manager for Home Health HEALTH SENSE, a Home Health Provider is hiring a RN Case Manager for the San Antonio office. The hours are Monday – Friday 8:30 – 4:30 pm with triage on call every ...

Posted: 11 days ago


Health Plan of San Mateo
South San Francisco, CA
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Case Manager to perform comprehensive assessments, develop individualized care planning, initiate a...

Posted: 1 day ago

RN Pediatric Case Manager - Part-Time

Himmel Home Health, LLC
New Braunfels, TX
RN PEDIATRIC CASE MANAGERQualifications:· Registered Nurse with current Texas state license · Current CPR certification· Previous experience in Case Management preferred but no...

Posted: 9 days ago

Care Coordination RN Case Manager

South San Francisco, CA
Job Description: Managed Care health plan looking for a CM to perform assessment, care plans, coordinate conferences and make determinations regarding services and medical necessity. Will be working w...

Posted: 9 days ago

Claims Director (Medicare/Medicaid)

Coconut Grove, FL
Pinnacus is dedicated to closely accompanying the hiring process for both our clients and our candidates. Our excellent level of service ensures that we will be involved throughout all stages of devel...

Posted: Today

Claims Research Specialist

Indianapolis, IN
Job Summary / Description: The Claims Research Specialist is responsible for receiving and processing provider communications. The Claims Research Specialist will also conduct the necessary resear...

Posted: 8 days ago