Las Vegas, Nevada
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Reno, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Las Vegas, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Winnemucca, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Manager, Care Management - Mom & Baby Must reside in Nevada
Las Vegas, Nevada
Job Summary: The Manager, Care Management provides operational management and oversight for providing CareSource members with the right care at the right place at the right time and assisting them to achieve optimal clinical, financial, and...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Ely, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Elko, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Community Based Care Manager - RN or SW - Nevada
Eureka, Nevada
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
Boston, Massachusetts
Job Summary: The Vice President, Market Chief Medical Officer has accountability for ensuring that local health plan, CareSource initiatives focusing on clinical excellence, quality improvement, appropriate inpatient and outpatient utilizat...
1d
| Job Type | Full Time |