Case Manager

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Anthony S.
Dragon Boat Racer
Utilization Management Nurse

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Case Manager

Spend more time with patients.  Bring more compassion to their care.  Ensure that their care is coordinated.  Be there for them.  Could you imagine a role that has more meaning and impact?  As a Case Management RN, your objective will be to drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need.

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Full-time Los Angeles, CA or Telecommute Considered

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Region: North America Country United States
State/Province: CA City: Los Angeles
Position Description
Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include: - Perform individual case review for appeals and grievances for various healthplan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies. - Perform Department of Insurance/Depa...

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C&S Member Navigator - Washington County, TN, Sullivan County, TN, Hawkins County, TN (707289)

Full-time Mountain City, TN

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Region: North America Country United States
State/Province: TN City: Mountain City
Position Description
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.   Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.  Join with us and s...

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Clinical Coverage Review Medical Director - Western U.S. - Virtual (708221)

Full-time Dallas, TX or Telecommute Considered

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Region: North America Country United States
State/Province: TX City: Dallas
Position Description
Clinical Coverage Review Medical Director The Medical Director provides physician support to Clinical Coverage Review (CCR) operations, the organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director collaborates with CCR leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service b...

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Region: North America Country United States
State/Province: NM City: Las Cruces
Position Description
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Region: North America Country United States
State/Province: FL City: Orlando
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Region: North America Country United States
State/Province: CA City: Ontario
Position Description
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