Health Care Consultant Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for performing in a consultative style and developing prospectively,a conceptual framework for working with the local medical record review staff in the...
View ArticleMgr, Health Services Job (Lexington, KY, US)
Description:GENERAL SUMMARY Responsible for the daily management in one or more of the various health services areas (Pre-authorization, Concurrent Review, Complex Case Management, Appeals, and/or...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARY Provides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical...
View ArticleRN Case Manager - Home Visits Job (Bowling Green, KY, US)
Description:NEW OPPORTUNITY - COMPLEX CASE MANAGERCo-Morbid Case Management (CMCM) is an Enhanced Care Management Program focusing on high risk, co-morbid aged; blind and disabled Medicaid members...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARY Provides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical...
View ArticleSupervisor, Concurrent Review Nurse Long Term Care Department Job (Sunrise,...
Description:Coventry Health Care is seeking a Supervisor, Concurrent Review Nurse for Long Term Care Department for our Sunrise, FL location. The successful candidate will responsible for the daily...
View ArticlePre-Authorization Coord - RN/LPN Job (Overland Prk, KS, US)
Description:It's a great time to put the strength of Coventry Health Care behind your career! Coventry is currently recruiting for projected openings in our Kansas health plan related to our...
View ArticleQuality Improvement Coordinator Nurse Job (Richmond, VA, US)
Description:Coventry Health Care is seeking a Quality Improvement Coordinator Nurse for our Richmond, VA office. The successful candidate will be responsible for the research and identification of...
View ArticleComplex Case Mgr Job (Louisville, KY, US)
Description:GENERAL SUMMARY Functions as the central coordinator of care for members/injured employees identified as having chronic disease processes or for members/injured employees in select...
View ArticleMgr, QI Job (Louisville, KY, US)
Description:GENERAL SUMMARY Manages the quality improvement function, including one or more of the following: provider relations, health services, customer service, and/or credentialing. Responsible...
View ArticleDirector, Quality Improvement Job (Louisville, KY, US)
Description:GENERAL SUMMARY Provides oversight and direction for the quality improvement function, including provider relations, health services, customer service, and credentialing. Serves as leader...
View ArticleProvider Relations Rep, Pikeville Region Job (Louisville, KY, US)
Description:GENERAL SUMMARY Responsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and...
View ArticleMedical Review Nurse Job (Louisville, KY, US)
Description:GENERAL SUMMARY Responsible for reviewing and analyzing information to make medical determinations as necessary. Applies clinical knowledge to assess the medical necessity, level of...
View ArticleSupvr, Pre-Authorization Job (Tampa, FL, US)
Description:GENERAL SUMMARY Responsible for the daily supervision of pre-authorization to include the telephone/fax authorization and retrospective claim review processes. Serves in an active...
View ArticleConcurrent Review Coord - RN Preferred Job (Morrisville, NC, US)
Description: It's a great time to put the strength of Coventry Health Care behind your career! Coventry is currently recruiting for projected openings in our Coventry Health Care of the Carolinas...
View ArticleConcurrent Review Nurse Job (Morrisville, NC, US)
Description:Coventry Health Care of the Carolinas, Inc., has an immediate opening for a Concurrent Review Nurse in our Morrisville, NC office. GENERAL SUMMARY Reviews all inpatient admissions to assure...
View ArticleRN Complex Case Manager Job (St. Louis, MO, US)
Description:RN Complex Case Manager It's a great time to put the strength of Coventry Health Care behind your career! Coventry Health Care is a $14 billion growth oriented national managed health care...
View ArticleRN Complex Case Manager Job (Sunrise, FL, US)
Description:RN Complex Case Manager It's a great time to put the strength of Coventry Health Care behind your career! Coventry Health Care is a $14 billion growth oriented national managed health care...
View ArticlePre-Authorization Nurse Job (Morrisville, NC, US)
Description:Coventry Health Care of the Carolinas, Inc., has an immediate opening for a Pre-Authorization Nurse in our Morrisville, NC office. GENERAL SUMMARY Responsible for implementing and...
View ArticleComplex Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARY Functions as the central coordinator of care for members/injured employees identified as having chronic disease processes or for members/injured employees in select...
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