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71 Jobs

  • BH Care Manager I

    Winston Salem, North Carolina
    ... weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for ... professional treatment health benefits through telephonic or written review. Primary duties may include but ...
  • BH Care Manager I

    CARY, North Carolina
    ... weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for ... professional treatment health benefits through telephonic or written review. Primary duties may include ...
  • BH Care Manager I

    Cary, North Carolina
    ... weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for ... professional treatment health benefits through telephonic or written review. Primary duties may include ...
  • Medicaid Quality Management Health Plan Director

    W DES MOINES, Iowa
    ... American Board of Quality Assurance and Utilization Review Physicians strongly preferred. MS or ... action plans, year round medical record review, and over read processes Monitors and reports ...
  • Nurse Reviewer I

    LAS VEGAS, Nevada
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    COLORADO SPRINGS, Colorado
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    MEMPHIS, Tennessee
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    BRENTWOOD, Tennessee
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    DENVER, Colorado
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Nurse Reviewer I

    KNOXVILLE, Tennessee
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ...
  • Behavioral Health Clinical Quality Audit Analyst, Sr.

    LOUISVILLE, Kentucky
    ... utilization review in a managed care setting as well as process improvement; or any combination of education ... education and outreach interventions, provider education and outreach interventions, medical record review ...
  • Nurse Medical Management I-1

    INDIANAPOLIS, Indiana
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    St Louis, Missouri
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Cincinnati, Ohio
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Richmond, Virginia
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Columbus, Ohio
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Grand Prairie, Texas
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Atlanta, Georgia
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Seven Hills, Ohio
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Dallas, Texas
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Mason, Ohio
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    South Portland, Maine
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Louisville, Kentucky
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Norfolk, Virginia
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Nurse Medical Management I-1

    Houston, Texas
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Mgr HCMS I

    METAIRIE, Louisiana
    ... concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services ... The Mgr HCMS I is responsible for managing a team of physical and/or behavioral health ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in the following ... shift between the hours of 7 am - 6 pm C ST The Nurse Reviewer I is ...
  • Nurse Reviewer I

    RANCHO CORDOVA, California
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in the following ... shift between the hours of 7 am - 6 pm C ST The Nurse Reviewer I is ...
  • Nurse Reviewer I

    WOODLAND HILLS, California
    ... Nurse Reviewer I Location: Within 50 miles of a pulse point in the following ... shift between the hours of 7 am - 6 pm C ST The Nurse Reviewer I is ...
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