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105 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 ...
  • Behavioral Health Care Manager II

    NEW YORK, New York
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    MIDDLETOWN, New York
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    ALBANY, New York
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    LATHAM, New York
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    Lake Success, New York
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    ISELIN, New Jersey
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ...
  • Behavioral Health Care Manager II

    MORRISTOWN, New Jersey
    ... Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written 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 ...
  • Behavioral Heath Care Manager II

    WOBURN, Massachusetts
    ... only, and there is licensed staff supervision. Previous experience in case management/utilization ... BCBA Autism/BH Care Manager is primarily for conducting the clinical review process for ABA service for ...
  • 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 ...
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