RN-Telephonic Case Mgr RN(WC)-Allentown, PA Job (Allentown, PA, US)
Description:Telephonic Case Manager (WC) GENERAL SUMMARY: Responsible for telephonically assessing; planning; implementing and coordinating all case management activities associated with an injured...
View ArticleProvider Contracting Spec Job (Tucson, AZ, US)
Description:GENERAL SUMMARY Assists with contracting activities specific to Durable Medical Equipment vendors/providers for all contracts pertaining to workers' compensation. Performs ongoing network...
View ArticleAssoc Provider Sys Info Admin Job (Franklin, TN, US)
Description:Coventry Health Care is seeking a Provider Systems Administrator in our Franklin, Tennessee Service Center. As a strategic member of the Customer Service Operations (CSO) team, the...
View ArticleRN-Call Center Nurse-(Staff Nurse) San Antonio, TX Job (San Antonio, TX, US)
Description:GENERAL SUMMARY Work at home Responsible for providing medical information, triaging patient symptoms, and coordinating services according to established, measurable criteria to meet the...
View ArticleRN-Call Center Nurse-(Staff Nurse) Dallas TX Job (Plano, TX, US)
Description:GENERAL SUMMARY Work at home Responsible for providing medical information, triaging patient symptoms, and coordinating services according to established, measurable criteria to meet the...
View ArticleRN-Call Center Nurse-(Staff Nurse) Dallas TX Job (Plano, TX, US)
Description:GENERAL SUMMARY Part time work at home Responsible for providing medical information, triaging patient symptoms, and coordinating services according to established, measurable criteria to...
View ArticleAssociate Accountant Job (Harrisburg, PA, US)
Description:GENERAL SUMMARY Compiles routine financial information to prepare reports relative to the accounting of reserves, assets, ande xpenditures. Assists with the preparation of income statements...
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 ArticleCoding Quality Auditor Job (Sunrise, FL, US)
Description:GENERAL SUMMARY Responsible for performing audits of medical records to ensure the ICD-9 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the Risk...
View ArticleMedical Director Job (Pittsburgh, PA, US)
Description:GENERAL SUMMARY Oversees the medical management programs for assigned business sector. Provides medical leadership to ensure excellent quality of care and service is provided to our...
View ArticleBusiness Analyst / Workers' Comp in multi locations / nationwide Job (West...
Description:GENERAL SUMMARYWorks with customers at all levels within the Workers' Compensation organization and with outside parties to identify operational business requirements with sufficient detail...
View ArticleSupervisor, Customer Service Operations (Pharmacy) Job (Sunrise, FL, US)
Description:GENERAL SUMMARY Guides and drives the development and activities of an organized team. Supervises the day-to-day operations. Serves as subject matter expert. Interfaces directly with...
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 ArticleLead Information Security Engineer Job (Cranberry Township, PA, US)
Description:GENERAL SUMMARY Responsible for the research, deployment, and maintenance of information technology security hardware and software systems to protect company data from being compromised....
View ArticleCoding Quality Auditor Job (Overland Prk, KS, US)
Description:Coding Quality Auditor - Open to our Overland Park, KS offices! We have an immediate need to a Medicare Risk Coding Quality Auditor. GENERAL SUMMARY Responsible for performing audits of...
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 ArticleTemporary Sales & Marketing Assistant Job (Overland Prk, KS, US)
Description:Temporary Sales and Marketing Assistant - This position is a full-time temporary position that will end on or before December 13, 2013. Hours are Monday-Friday, 8am - 5pm. GENERAL SUMMARY...
View ArticleHealth Education Coord Job (Harrisburg, PA, US)
Description:GENERAL SUMMARY Provides a comprehensive curriculum of health education and wellness programs to members, employees, and/or providers to promote and support healthy lifestyles. Serves as a...
View ArticleRN Complex Case Manager Job (Pittsburgh, PA, 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 ArticleDir, Medical Economics- Medical Cost Analytics Job (Atlanta, GA, US)
Description:Director, Medical Economics- Medical Cost AnalyticsIt's a great time to put the strength of Coventry Health Care behind your career! Coventry Health Care is a $12 billion growth oriented...
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