Medical Appeals Analyst (33248992)
Columbia, SC
Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analys...

Maintenance Assistant I (33040455)
Columbia, SC
Performs routine facility maintenance tasks to ensure company employees have a safe and properly conditioned work environment. Assemble, relocate, and repair free standing or modular off...

Clinical Appeals Nurse
Dayton, OH
The Clinical Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states. Essential Functions Responsible for the completion of clinical appeals...

Data Capture Operator
Marion, IN
Data Capture Specialist is responsible for the accurate capture of the alphabetic, numeric, or symbolic data from electronic images and/or source documents according to the custom develo...

Case Manager I (56117)
Arlington Heights, IL
PME is looking for a Healthcare Case Manager I (RN, LCSW, LMSW) experienced in Case Management working with complex medical and mental illness cases. The position will require field visi...

Entry-Level Technical Writer
Indianapolis, IN
Professional Management Enterprises, inc. is looking for an entry level Technical Writer. Their role is to employ their technical knowledge to research, document, and present detailed in...

Care Coordination Manager
Indianapolis, IN
The Community Well Care Coordination Manager must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not...

Registered Nurse
Indianapolis, IN
Educate individuals on the importance of nutrition, safety, and overall good health. Provide knowledge and advice through our triage line. Engage callers to assess and de escalate uneasy...

Medical Affairs Coordinator (32706730)
Columbia, SC
Seeking a RN to function as a Medical Affairs Coordinator . This position if fully remote. The schedule is M F, 9am 5pm. DUTIES Ensures that the Local Coverage Determination (LCD) process...

Data Analyst I (33097034)
Columbia, SC
DUTIES Analyzes current operational functions and offers and implements improvements. Maintains databases and extracts data for analysis from multiple systems and departments using vario...

Licensed Mental Health Counselor (LMHC)
Indianapolis, IN
Conduct assessments to understand clients' needs. Collaborate with other healthcare professionals, such as psychiatrists, psychologists, and social workers, to provide comprehensive care...

Utilization Review RN
Indianapolis, IN
Seeking a Registered Nurse with current in state license, with Utilization review or quality management experience. This position is fully remote. Work schedule is Mon Fri, 8 00am 5 00pm...