Mgr, 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 ArticleStrategic Account Exec / Workers' Comp for the Central / Mid West Region Job...
Description:GENERAL SUMMARYResponsible for identifying and selling Workers' Compensation services to insurance companies, Third Party Administrators (TPAs), and select self-insured employer groups....
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 (Metairie, LA, US)
Description:GENERAL SUMMARY Reviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and...
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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