Supvr, Pre-Authorization Job (Tampa, FL, US)
Description:GENERAL SUMMARYResponsible for the daily supervision of pre-authorization to include the telephone/fax authorization and retrospective claim review processes. Serves in an active managerial...
View ArticleAppeals Coord Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for coordinating behavioral health appeals and retrospective review activities and ensuring compliance with state and federal regulations and accrediting...
View ArticleComplex Case Mgr with Pediatric Foster Care Experience valuable! Job...
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members identified as having chronic disease processes or for members/injured employees in select physician practices....
View ArticleComplex Case Mgr, Disease Mgmt, UR or Discharge Planning experience helpful!...
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members identified as having chronic disease processes or for members in select physician practices. Responsible for...
View ArticleMedical Director Job (Louisville, KY, US)
Description:GENERAL SUMMARYOversees the medical management programs for assigned business sector. Provides medical leadership to ensure excellent quality of care and service is provided to our...
View ArticleHealth Care Analyst Job (Louisville, KY, US)
Description:GENERAL SUMMARYCollects data and provides analyses for a broad array of issues. Carries out detailed tasks assigned by project teams. May work independently or as a part of a project team....
View ArticleMgr, Finance Job (Louisville, KY, US)
Description:GENERAL SUMMARYManages specified finance functions to ensure compliance with financial objectives, accounting policies and procedures, and management/user information requirements.ESSENTIAL...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleConcurrent Review Coordinator, with Retroactive Claims Review experience...
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 ArticleMedical Review Nurse Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for reviewing and analyzing information to make medical determinations as necessary. Applies clinical knowledge to assess the medical necessity, level of...
View ArticleQuality Improvement Coord Job (Urbandale, IA, US)
Description:Quality Improvement Coordinator 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...
View ArticleQuality Improvement Coord Job (Richmond, VA, US)
Description:Coventry Health Care, Inc., a local leader in the managed care industry, has an opening for a Quality Improvement Coordinator who will be responsible for the research and identification of...
View ArticlePre-Authorization Coord Job (Tampa, FL, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient admissions.An...
View ArticleMedical Review Nurse Job (Newark, DE, US)
Description:Coventry Health Care is seeking a Review Nurse in our Newark,DE Service Center. As a strategic member of the Customer Service Operations (CSO) team, the successful candidate will be...
View ArticleConcurrent Review Coord Job (Bristol, VA, US)
Description:Coventry Health Care of Virginia, Inc., a local leader in the managed care industry, has an opening for a Nurse Reviewer in the Bristol area. The individual will review all inpatient...
View ArticleSIU Review Nurse Job (Wichita, KS, US)
Description:Coventry Health Care is seeking a SIU Review Nurse in our Wichita, KS Service Center. The successful candidate will be responsible for the planning, design, production, and maintenance of...
View ArticleComplex Case Mgr Job (Kansas City, MO, US)
Description:Coventry Health Care is currently seeking an Advanced Illness Complex Case Manager for our Kansas City, MO location. The Condition Management Program case management model focuses on...
View ArticleConcurrent Review Coord Job (Omaha, NE, US)
Description:Coventry Health Care is an organization of people dedicated to serving the health care needs of our community. We foster team involvement, encourage continuing education, and reward...
View Article