Description Summary: The Utilization Management Nurse I is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of...
**Job Description****Job Summary**Researches and documents Medicaid and Medicare Advantage denial determinations for reconsiderations/appeals in a thorough, professional and expedient manner. May include evaluation for medical necessity and...
At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for...
**Job Description****Job Summary**The Sr. ER Consultant is generally responsible for the following: Mitigating risk for the organization and creating capacity for people leaders in counseling and guiding them through complex employee issues; and...
Insurance Sales Agent Overview: Aflac is seeking independent professionals to join the Aflac sales team as a Benefits Advisor. We are looking for outgoing, entrepreneurial and motivated individuals...
Pediatric Home Service are leaders in home health care, we are committed to taking care of the child!Is your calling in life to help and serve others? Would you like to make this your career?If you answered yes, then apply for our Patient Service...
Requisition ID: 6300 ...
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh...
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