Medical Director, Quality & STARS
Omaha, Nebraska
Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with provide...
3d
| Job Type | Full Time |
Medical Director, Quality & STARS
St. Louis, Missouri
Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with provide...
3d
| Job Type | Full Time |
Medical Director, Quality & STARS
Madison, Wisconsin
Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with provide...
3d
| Job Type | Full Time |
Medical Director, Quality & STARS
Minnetonka, Minnesota
Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with provide...
3d
| Job Type | Full Time |
Utilization Review Clinician (RN, OT, or PT) - Remote
The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge fol...
3d
| Job Type | Full Time |
Utilization Review Clinician (RN, OT, or PT) - Remote
Overland Park, Kansas
The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge fol...
3d
| Job Type | Full Time |
RN Manager of Grievances and Appeals
Baltimore, Maryland
General Summary of Position Looking for an opportunity to have a positive impact on the lives of the underserved communities in DC and throughout Maryland? As the Manager of Grievances and Appeals, you'll have the opportunity to provide str...
3d
| Job Type | Full Time |
Skilled Nursing Facility Rounder - Physician
Urbana, Illinois
Overview Carle Health is seeking a BE/BC Family Medicine, Internal Medicine, or Geriatric Medicine physician to join our established practice in Urbana, Illinois. Opportunity Details Join four Geriatricians who support nursing home rounds, ...
3d
| Job Type | Full Time |
Manager of Medical Insurance & Central Prior Authorization
Urbana, Illinois
Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve revenue cycle activities for prior authorizations, documentation, billing and ...
3d
| Job Type | Full Time |
Medical Director - Associate, Hospitalist (Physician)
Urbana, Illinois
Overview Shape the future of Hospital Medicine with a high-performing, mission-driven team. Your Leadership. Our Mission. Shared Purpose. At Carle Health, we believe exceptional care begins with empowered leaders. We are seeking a dynamic, ...
3d
| Job Type | Full Time |