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LTSS Service Coordinator Non-RN | Southampton, Sussex Counti...
Anthem, Inc. - 3,049 reviews - Courtland, VA 23837
Working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract...
Registered Nurse (RN) - SIGN ON BONUS OFFERED (relocate to A...
$34.30 - $42.71 an hour
As a district hospital, Modoc Medical Center (MMC) is proud to partner with our district members and community, to provide our patients and visitors with a...
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Nurse Appeals Lead (NY RN License) Remote - US - PS4575
The Nurse Appeals Ld. is responsible for serving as a team lead and for investigating and processing the most complex grievances and appeals requests from...

RN Nurse

Anthem, Inc. - 3,049 reviews - Louisville, KY
Utilize leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical...

RN, LPN, LVN

Anthem, Inc. - 3,049 reviews - Tampa, FL
This position is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through...

Clinical Initiatives Advisor Sr. (RN preferred)

Anthem, Inc. - 3,049 reviews - Nashville, TN
The Business Change Advisor Sr. (Clinical Initiatives Advisor Sr.) for the Tennessee Medicaid Plan is responsible for assisting the specialty team with...

RN Workers Compensation Telephonic Case Manager ( TCM )

Professional Search - Rancho Cordova, CA
$100,000 - $105,000 a year
Assesses medical needs via evaluation and assessment of subjective, objective symptoms and complaints, evaluation of the injured worker’s functional...
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RN Workers Compensation Telephonic Case Manager

Professional Search - San Jose, CA
$100,000 - $105,000 a year
Assesses medical needs via evaluation and assessment of subjective, objective symptoms and complaints, evaluation of the injured worker’s functional...
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RN Workers Compensation TCM ( Telephonic Case Manager )

Professional Search - Riverside, CA
$100,000 - $105,000 a year
Assesses medical needs via evaluation and assessment of subjective, objective symptoms and complaints, evaluation of the injured worker’s functional...
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Nurse Reviewer

Anthem, Inc. - 3,049 reviews - Westchester, IL
Nurse Reviewer I and Nurse Reviewer Associateare responsible for conducting pre-authorization, out of network and appropriateness of treatment reviews for...

RN Nurse Medical Management, Utilization Review (Remote) Vir...

Anthem, Inc. - 3,049 reviews - Virginia
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...

RN or LCSW

Anthem, Inc. - 3,049 reviews - Metairie, LA
This position is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization...

RN Nurse Case Mgr I (DD Population) Remote

Anthem, Inc. - 3,049 reviews - Fairfax, VA
The Case Manager is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing...
ICU Registered Nurse (RN) Full Time Nights
This role is responsible for managing the care of the young adult, adult or elderly patients experiencing intensive or life threatening problems requiring...
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RN Case Manager
Responsible for performing case management within the scope of licensure for members with complex and chronic care needs by assessing, developing...
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