Telephonic Case Manager RN Optum Arizona - Remote
Phoenix, AZ
Make outbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Interact with Medical D...

RN Field Clinical Care Coordinator - Bristol/Plymouth, MA
Attleboro, MA
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Medical Assistant Primary Care Plus Houma
Houma, LA
Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision maki...

Medical Assistant at Slidell
Slidell, LA
Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision maki...

Behavioral Health Advocate - Remote / Field Based in Omaha NE
Omaha, NE
Manage caseload of members with behavioral health concerns Utilize advanced clinical skills to engage and motivate members via a recovery, health, and wellness oriented approach Assist m...

Provider Customer Service Representative - Remote in New Mexico
Minnetonka, MN
Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues Quickly and appropriately triage contacts from healthcare professionals (i.e. physici...

Clinical Appeals Representative - Cypress, CA
Cypress, CA
Receive appeal or grievance documentation and determine relevant details (e.g., what member is requesting) Enter appeals and grievances details within the system and audit against provid...

Field Based Case Manager RN - Frisco, TX
Frisco, TX
Visit members in the hospital prior to discharge Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support membe...

Complex Customer Care Representative - Las Vegas, NV
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely a...

Complex Customer Care Representative - Las Vegas, NV
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely a...

Bilingual (English / Spanish) Complex Customer Care Representative - Las Vegas,
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely a...

Community Health Worker - Field Based in Craven County, New Bern, NC - No weeke
New Bern, NC
Linking members to applicable community resources Complete field visits for high risk, hard to reach members Telephonic outreach to targeted members Keep the member out of the hospital b...

Bilingual (English/Spanish) Complex Customer Care Representative - Las Vegas, NV
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely a...

Senior Clinical Quality RN - HEDIS, Remote in Las Vegas, NV
Las Vegas, NV
Perform HEDIS medical record review for physician offices throughout the state of Nevada Complete inter rater reliability testing and required computer training successfully in order to...

HSS Clinical Care Coordinator - Wyandotte County, KS
Overland Park, KS
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals fo...