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 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...

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...

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...

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 Admin Nurse - Hybrid in Columbia, TN
Columbia, TN
Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Assist members with adverse...

Audit Analyst
Minnetonka, MN
Assist audit management or audit lead in the execution of internal audits including audit planning, detailing control procedures, and the related testing and reporting in accordance with...

On Site RN Case Manager - Community Transitional Center - San Diego, CA
San Diego, CA
Assess, plan, implement, coordinate, monitor, and evaluate case management activities for offenders being released from state and local prison and for those currently residing at the Com...

Director Compensation, UHC Global - Remote
Minnetonka, MN
The UHC Director Compensation will lead all total rewards related strategies and activities in support of the Segment goals including Provide a full spectrum of consulting and analytical...

Health Plan CEO, Illinois - Community & State
Minnetonka, MN
Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement D...

Associate Director, Healthcare Economics - Remote
Minnetonka, MN
Partners with business leaders to scope, create and execute business analytics using the appropriate data aggregation and visualization tools Creates backlog and prioritization methodolo...

Medical Coder
Wausau, WI
Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits...

Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
Cypress, CA
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Perform...