HEDIS On Call Nurse Job (Detroit, MI, US)
Description: CoventryCares of Michigan, a Coventry Health Care Plan, is currently seeking temporary part-time and temporary full-time experienced nurses in the Detroit metropolitan area to perform...
View ArticleComplex Case Mgr Job (Kansas City, MO, US)
Description:Coventry Health Care is currently seeking a Complex Case Manager for our Kansas City; MO location. The Condition Management Program case management model focuses on chronically ill members...
View ArticleComplex Case Mgr Job (St. Louis, MO, US)
Description:It's a great time to put the strength of Coventry behind your career! Coventry Health Care is a national managed health care company based in Bethesda, Maryland providing a full range of...
View ArticleComplex Case Mgr Job (Hazelwood, MO, US)
Description:Coventry Health Care, Inc., is currently seeking RN Complex Case Manager for our Hazelwood, MO location. The Condition Management Program case management model focuses on chronically ill...
View ArticleOutreach Coordinator-Work from Home Job (Richmond, KY, US)
Description:GENERAL SUMMARYWork from Home with Business Travel within the region. The Outreach Coordinator will coordinate member outreach to ensure effective use of health plan benefits and to improve...
View ArticleSupvr, Provider Relations Job (, KY, US)
Description:GENERAL SUMMARYResponsible for the daily operation and direction of the Provider Relations Department in Kentucky. Supervises employees who maintain working relationships with the existing...
View ArticleField Case Mgr - Med (WC)-Lexington, KY Job (Lexington, KY, US)
Description:Field Case Manager-Medical (WC) GENERAL SUMMARYResponsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient?s...
View ArticleMgr, Fraud & Abuse Job (Harrisburg, PA, US)
Description:Our national managed care company is seeking a Fraud & Abuse Manager for our SIU (Special Investigations Unit) in our Harrisburg, PA; Louisville, KY; Sunrise, FL; or San Antonio, TX...
View ArticleDirector of Network Development Job (Louisville, KY, US)
Description:Coventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members. At Coventry Health Care, we are driven to ensure...
View ArticleComplex Case Mgr- for NICU or Peds or Behavioral orTransplant or General CM...
Description:GENERAL SUMMARYNICU or Peds or Behavioral or Transplant or General Experience a Plus!If you have any experience in any of these areas of Case Mgt, then we encourage you to apply!!!Functions...
View ArticleMgr, Network Ops Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for provider contracting and/or provider relations pertaining to fully insured, Health Plan, PPO, corporate accounts, lease networks and workers’ compensation....
View ArticleMgr, Provider Relations Job (Louisville, KY, US)
Description:GENERAL SUMMARYManages the activities of the Provider Relations Department. Overseas the maintenance of working relationships with the existing network, and assists in the recruitment of...
View ArticleSr Operations Liaison, Claims and Project Mgmt experience valued! Job...
Description:GENERAL SUMMARYPrior Medical Exeperience Preferred! Hospital Billing experience a plus!Leads the monitoring and evaluation efforts of claims payment according to provider contracts and/or...
View ArticleVP, Network Mgmt Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the development, negotiation, implementation, management, and financial impact determination of all contracts pertaining to fully insured, Health Plan, PPO,...
View ArticleOutreach Coord, HEDIS Job (Louisville, KY, US)
Description:GENERAL SUMMARYFacilitates provider and member outreach to ensure member receipt of important clinical services to improvement member health outcomes. Provides support for Healthcare...
View ArticleProvider Contracting Spec Job (Louisville, KY, US)
Description:GENERAL SUMMARYAssists with managed care contracting with physicians and ancillary providers for all contracts pertaining to fully insured, Health Plan, PPO, corporate accounts, lease...
View ArticleRN Case Manager - Home Visits Job (Louisville, 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 ArticleComplex Case Mgr Job (Louisville, KY, US)
Description:Coventry’s Medicaid Division is seeking an experienced RN Case Manager to join our team in Louisville in the role of Transitional Care Case Manager. This individual will work...
View ArticleConcurrent Review Coord Job (Louisville, KY, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
View ArticleHEDIS On Call Nurse Job (Louisville, KY, US)
Description: CoventryCares of Kentucky, a Coventry Health Care Plan, is currently seeking temporary part-time and temporary full-time experienced nurses across Kentucky to perform medical record...
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