Care Coordination RN or Social Worker - Jackson County Indiana and surrounding a
Brownstown, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Appeals and Grievances Medical Director - Neurologist Required - Remote
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Associate Clinical Administrative Coordinator
Grand Junction, CO
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and...

Housing Community-Based Worker - Las Vegas, NV
Las Vegas, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Housing Community-Based Worker - Remote in Reno, NV
Reno, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Strategic Account Executive, KA - Pennsylvania
Horsham, PA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels,...

Field Based Community Health Worker - Greater Detroit Area, MI
Southfield, MI
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate care Utilize both company and community based resources to establis...

Field Health Social Services Coordinator/IDD - Laredo, TX
Laredo, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...

Field Health Social Services Coordinator/IDD - Morgan Wonderland - SW San Antoni
San Antonio, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...

Regional Sales Manager
Eden Prairie, MN
Promote Excelsior's product portfolio to benefits brokers and help them increase their enrollment and average case size with all product lines Ability to negotiate and close sales Conduc...

Healthcare Economics Analyst - Remote
Cypress, CA
Positions in this function will be responsible for researching and investigating key business problems through quantitative analyses of utilization and healthcare costs data. Develop and...

Float Nurse Practitioner - Primary Care Plus Clinics (Greater New Orleans Area,
New Orleans, LA
Provide primary care, including ordering and evaluating diagnostic/screening/laboratory tests, and management of minor acute illnesses Conduct comprehensive wellness assessments on membe...

Per Diem Medical Director Orthopedic Surgery or Neurosurgery - Remote
Minneapolis, MN
Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict o...

Field Clinical Coordinator RN - Shelby County, TN - Remote
Memphis, TN
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Strategic Account Executive, KA - Northern CA
Concord, CA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate, and manage the customer relationship at multiple levels,...