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Our medical plan has in-network provider coverage for mental health, reproduction, chiropractic, and massage therapy. The Member Benefits Advisor is responsible for providing service to the customer including general service inquiries, resolving customer concerns and educating customers on the value of existing insurance and non-insurance products.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Research Associate will be a key member of a team involved in applied research, evaluation, public health, and health communication projects. This position will support quantitative and qualitative research and evaluation tasks for domestic communication initiatives related to public health and social change.
$36 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Serve as a vital member of the Individualized Education Plan (IEP) team. Invo Healthcare, the nation’s premier provider of behavior, mental health, and therapy services in schools, centers, and communities, is seeking talented full-time OTs to join our dynamic team.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This individual will support the Community Health Needs Assessment and Community Health Improvement Plan efforts. As a member of the Community Affairs staff, the employee will act as a resource to CNH departments and staff to cultivate relationships and services in the community, and will increase the visibility and participation of the CNH community affairs team in the Washington, DC metropolitan healthcare communities.
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Develop Individual Care Plan (ICP) by conditions identified in health plan HRA, patient assessment, medical records authorizations/referrals, primary care physician, member, and Interdisciplinary Care Team (ICT.
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Bachelors degree in Marketing, Finance, Business Administration, or related field AND minimum four (4) years of experience in sales, customer service, telemarketing, account management, health plan administration, insurance, or a directly related field OR minimum seven (7) years of experience in sales, customer service, telemarketing, account management, health plan administration, insurance, or a directly related field.
$131,230 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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401(k) savings plan (Company match after 1 year of service)Management career advancement opportunities (50%+ of our managers are promoted from hourly positions!) That includes placing the health and safety of our team members and guests as a top priority.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Candidate must reside Monroe/Phillips counties Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved.
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The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
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5-8 years' experience with customer service/call center operations within a managed care organization, health plan, or third-party administrator is a plus. This individual will play a critical role in executing Evolent's mission by leading a contact center team as part of the CSO. The Supervisor will be responsible for leading staff in a matrix environment to ensure the team delivers the highest possible quality service to our Health Plan partners, including members, providers, and other constituents.
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The Virtual Nurse actively promotes the Holy Cross Health Model of Care and the nursing profession, in fulfillment of the Holy Cross Health Quality Plan for Nursing. In addition, the Virtual Nurse is accountable to practice in accordance with the standards established/endorsed by the Holy Cross Health leadership and by external regulators and accreditation agencies.
$55.93 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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As a member of the health center leadership triad, the Lead RN participates in administrative and organizational leadership activities to promote efficiency and optimal quality of care. The Lead Registered Nurse (Lead RN), under the direction of the Director of Nursing and the clinical care team, serves as an integral member of the nursing and CCI health center leadership teams.
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