Care Manager - Field Based in Surry, VA Market
Surry, VA
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals fo...

Field Based Community Health Worker - Virginia
Richmond, VA
Engage members either face to face or over the phone to assist with closing gaps in care, linking to necessary services and providing education about their health Review available member...

RN Health Coordinator - $5,000 Sign On - Field Based on Oahu, HI
Honolulu, HI
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals fo...

Care Coordination RN or Social Worker - Jackson County Indiana and surrounding a
Brownstown, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Appeals and Grievances Medical Director - Neurologist Required - Remote
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Associate Clinical Administrative Coordinator
Grand Junction, CO
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and...

Housing Community-Based Worker - Las Vegas, NV
Las Vegas, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Housing Community-Based Worker - Remote in Reno, NV
Reno, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Strategic Account Executive, KA - Pennsylvania
Horsham, PA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels,...

Manager - National Accounts and Implementation - National Remote
Dallas, TX
Manage the implementation of assigned accounts and direct structure building and billing set up and contracts Oversee overall employer implementation using various databases and/or sourc...

Field Based Community Health Worker - Greater Detroit Area, MI
Southfield, MI
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate care Utilize both company and community based resources to establis...

Regulatory Adherence Consultant - Fort Worth, TX
Fort Worth, TX
Assist with Consumer Affairs mail by uploading documents, creating letters, updating databases, etc. Prepare and distribute approval notifications including creating documents for policy...

Field Health Social Services Coordinator/IDD - Laredo, TX
Laredo, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...

Provider Reimbursement Specialist - National Remote
Eden Prairie, MN
Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites Research and develop applicable business rules that support produc...

Field Health Social Services Coordinator/IDD - Morgan Wonderland - SW San Antoni
San Antonio, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...