Manager of Grievances & Appeals
Baltimore, Maryland
General Summary of Position Responsible for day to day oversight and management of Intake, Clinical Appeals, Claims Appeals, Complaints, Grievances and Intake functions. The Manager of Appeals, Complaints and Grievances will be dedicated to...
9d
| Job Type | Full Time |
Assistant Facility Health Administrator
Goodyear, Arizona
Assistant Facility Health Administrator Location US-AZ-Goodyear ID 2025-24347 Category Leadership Position Type Full-Time Overview NaphCare is hiring an experienced Assistant Facility Health Administrator (AHFA) to join our team at the Ariz...
9d
| Job Type | Full Time |
Hospital & Client Account Manager
Rye, New York
Hospital & Client Account Manager Job Locations US-NY-Rye Job ID 2025-7606 Category Management Minimum Rate USD $94,610.00/Yr. Maximum Rate USD $104,000.00/Yr. Work Location Type Physical Overview Founded in 1964, New York Blood Center (NYB...
9d
| Job Type | Full Time |
Nashville, Tennessee
Job:Manager, Clinical Standards - Shared Clinical Services Reports to:Director, Nursing Practice and Improvement Reporting to the Director of Nursing Practice and Improvement, this position has the responsibility for clinical training and s...
9d
| Job Type | Full Time |
Job:Manager, Clinical Standards - Shared Clinical Services Reports to:Director, Nursing Practice and Improvement Reporting to the Director of Nursing Practice and Improvement, this position has the responsibility for clinical training and s...
9d
| Job Type | Full Time |
Unit Manager Credentialing - Committee
Richardson, Texas
Health Care Service Corporation
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpo...
9d
| Job Type | Full Time |
Parsippany, New Jersey
About Ogilvy Ogilvy has been creating impact for brands through iconic, culture-changing, value-driving ideas since the company was founded by David Ogilvy 75 years ago. It builds on that rich legacy through Borderless Creativity - innovati...
9d
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
Woodland Hills, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
9d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
Rancho Cordova, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
9d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Rancho Cordova, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
9d
| Job Type | Full Time |