Clinical Coordinator - Remote Mountain Time Zone
Grand Junction, CO
Provide consultation to providers and/or consumers on a variety of issues including benefit information, safety issues, confirmation of prior authorizations and approvals, procedures for...

Transplant Nurse Case Manager RN - Remote
Downers Grove, IL
Making outbound calls to assess members' current health status Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with...

Sr. Business Process Analyst - Remote
Eden Prairie, MN
Facilitate, oversee and monitor on going business processes to support HEDIS data reporting Monitor compliance against relevant process requirements (e.g., turnaround time, accuracy) Eva...

Senior Pharmacy Technician - Telecommute in Phoenix
Phoenix, AZ
Perform telephonic customer outreach to improve health quality outcomes in collaboration with clinical pharmacists Provide additional telephonic engagement with providers and pharmacies...

Per Diem OB Home Care Nurse RN - Remote in Ohio
Dublin, OH
Home health administrator responsibilities as assigned Special project management as assigned Additional responsibilities as assigned Primary Responsibilities Positively represent the Co...

Preservice Review Nurse RN - Remote
Phoenix, AZ
Perform initial and ongoing reviews pertaining to primary role (PA, ICM, DCM, PACM), appropriately applying clinical criteria (InterQual, policies, National and Local Coverage Determinat...

Field Based Community Health Worker - Baton Rouge, LA
Baton Rouge, LA
Locate and engage members within a 60 mile radius of a designated region Assess SDOH needs using a standardized screening tool and coordinate with ICT to identify and connect members to...

Medicare Market Growth Manager - Bilingual in Spanish - SW FL
Naples, FL
Develop Others into a successful team aimed at increasing growth and market permeation by Continually building and nurturing agents through educational support on product information, se...

Field Care Coordinator - ALTCS - Coconino County, AZ
Flagstaff, AZ
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

RN Field Clinical Care Coordinator/Transitions - Medina County, TX
Devine, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...

Clinical Pharmacist - Atlanta - Remote
Atlanta, GA
Review and assess individual member clinical cases for high priority medication related opportunities and recommendations Provide written, consultative medication recommendations for int...

Field Account Manager - Maryland Heights, MO
Maryland Heights, MO
The KA Field Account Manager is accountable for the field based service of small to mid size, standard/non standard customers under 1,000 members. In this position, the KA Field Account...

RN Field Clinical Care Coordinator - Field Based Plymouth/Bristol County, MA
Berkley, 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...

National Accounts Medical Director - Remote - Atlanta, GA
Atlanta, GA
Support case and disease management teams to achieve optimal clinical outcomes for high risk populations Proficient in evidence based clinical guidelines and lead grand round clinical ed...

Provider Relations Advocate - Remote in HI
Honolulu, HI
Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future servic...