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US - TX - Fort Worth
October 31, 2024
Identifies members for high risk complications. • Obtains clinical data. • Identifies members that would benefit from an alternative level of care or other waiver programs. • Verifies and interprets information, conducts additional assessments, as necessar Coordinator, Clinician, Service, Retail,...
Provides a range of primary, acute and/or specialty healthcare services for patients in clinics, virtually or in home settings. • In states that do not require collaborative agreements, functions as the primary care provider. • Orders, interprets and eva Nurse Practitioner, Nurse, Practitioner,...
Directs and oversees program operations in support of corporate and health plan management. • Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations. • Participates in cross-functional Manager, RN, Management, Operations,...
Learning the activities/tasks associated with his/her role. • Works under direct supervision. • Relies on others for instruction, guidance, and direction. • Work is reviewed for technical accuracy and soundness. • Codes and processes claims forms for payment Claims Representative, Health, Dental,...
US - OH - Mason
October 30, 2024
Business Analyst III • Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles from one of our posted Elevance Health locations. • A proud member of the Elevance Health family of companies, CarelonRx (formerly IngeinoRx) leverages the...
US - FL - Fort Walton Beach
October 28, 2024
Mental Health Outreach Care Specialist II • Location: Florida • $1500 Sign On Bonus! • The Mental Health Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health...
US - CA - Los Angeles
October 19, 2024
Location : This position is located in the state of California and must reside within 50 miles of the following locations: 3080 BRISTOL ST Costa Mesa 2121 N CALIFORNIA BLVD Walnut Creek 661 BRYANT ST Palo Alto 21215 BURBANK BLVD Woodland Hills The Nurse Care ManagerII is responsible for...
Claims Representative I (Health & Dental) Location: • Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. • The Claims Representative I (Health & Dental) is responsible for...
US - CA - Irvine
October 31, 2024
Anticipated End Date: • 2024-10-28 Position Title: • LTSS Service Coordinator-Auditor • LTSS Service Coordinator - Auditor Location: • While remote, candidates will ideally be located within 50 miles of one of our Elevance Health PulsePoints. • TheLTSS Service Coordinator-Auditor is responsible for...
US - FL - Wellington
October 31, 2024
Claims Representative I (Health and Dental) Location: • Remote, within 50 miles of an Elevance Health pulse point in Tampa or Miami, FL. • Hours: • An 8-hour shift, Monday - Friday, between the hours of 8 am - 5 pm EST. • The Claims Representative I is responsible for successfully completing the...