Home Health Nursing Jobs

The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The…

Position Summary Account Manager will partner with an Account Executives servicing clients developing strong external and internal relationship to achieve customer satisfaction, membership and revenue for existing customers. Responsibilities include: Develops working…

Registered Nurse must hold a CDCES- Certified Diabetes Care and Education Specialist This is a full-time telework role for a RN who resides in a compact state and holds a compact license. Working schedule: Monday-Friday, standard business hours, including 1 evening shift per…

Lead Director - Behavior Health - Sales Enablement — Work At Home-Pennsylvania. Apply via Workday.

Account Manager (Meritain Health) — Work At Home-Pennsylvania. Apply via Workday.

Position Summary Examines sales, account management, and business retention metrics for products and services in support of profitable growth and other business objectives. Provide client management support to a team of Account Executives; focusing on client and member…

*Candidates must possess active and unrestricted LCPC OR LCSW OR RN in the state of Illinois * Position Summary/Mission Responsible for the oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional…

Position Summary : As a Health Plan Manager, Account Management you will be client facing and work directly with key client contacts. Your role is an integral part of the overall account services team that owns the client relationship and delivers client satisfaction. You will…

Mental Health Therapist — CA - Work from home. Apply via Workday.

Health Coach Consultant (Arizona Candidates Only) — AZ - Work from home. Apply via Workday.

*** This positions prefers an active, unrestricted Louisiana medical license *** Position Summary: Ready to take your Medical Director career to the next level with a Fortune 6 company? Join Aetna, a CVS Health company, and make a meaningful impact on the health and well-being…

Position Summary CVS Health is offering a unique opportunity to be part of an extremely talented team within CVS Specialty as a Benefits Verification Representative. This position will require you to demonstrate strong attention to detail, utilize problem solving skills, and be…

Do you have a passion for engaging with people and helping them on their journey to better health? Discover a meaningful role where you’ll engage with health plan members primarily online, helping to close gaps in care. Signify Health, part of CVS Health®, is hiring full-time,…

Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes…

Utilization Management Nurse Consultant Work Schedule: Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Position Summary: Utilizes clinical experience and skills in a collaborative process to assess, plan,…