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Managing incoming prior authorization and inpatient admission requests for behavioral health services, the full-time remote Behavioral Health Specialist will review submissions, gather clinical documentation, verify member eligibility, and ensure...

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A company is looking for an Admissions Specialist to join their Admissions Center team. Key Responsibilities Conduct discovery calls to assess prospects? fit for telehealth AUD treatment and address objections Manage insurance eligibility and...

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Leading audit operations for multiple accounts, the full-time salaried Director of Audit Operations will manage service delivery, enhance productivity, and ensure compliance while focusing on client satisfaction and operational efficiency. Key...

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Grants Manager, responsible for managing the full lifecycle of grants including compliance oversight and funding coordination, in a full-time salaried role. Key Responsibilities Manage the full lifecycle of the organization?s grants portfolio,...

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Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

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Consulting with patients on their benefits and financial options, the full-time Remote Financial Educator will perform benefit verification, provide ongoing financial education, and maintain patient accounts while working Monday through Friday...

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RN Case Manager Recruiter is a remote, contract position responsible for sourcing, screening, and delivering qualified registered nurse case managers to support the launch of a new Complex Care Management program. Key Responsibilities Manage the...

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Leading the execution of clinical quality programs, the remote Quality Program Manager will manage Quality Improvement Specialists, ensure adherence to quality workflows, and drive performance improvements across value-based care initiatives. Key...

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To improve health outcomes for members, the full-time Remote Healthcare Case Manager will coordinate care and services, conduct assessments, and develop care plans while working collaboratively with a multidisciplinary team from North Carolina....

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To ensure successful software deployment, the full-time EHR Configuration Specialist will execute technical and configuration requirements while collaborating with the Implementation Project Manager in a fully remote environment. Key...
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