• Clever Care Health Plan (Huntington Beach, CA)
    …the organization. The coordinator will also work closely with Stars, Risk, UM / CM , Provider Relations, Member Services and other Clever teams to schedule ... Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of the diverse communities we… more
    Upward (07/31/25)
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  • Clinical Nurse, Case and Disease Management

    Blue KC (Workman, MN)
    …hire date. + Intermediate level keyboarding skills + Intermediate level knowledge of FACETS UM , CM and claims applications. + Experience in working with Health ... across the seven domains of health and develops and implements individualized care plans with appropriate interventions in a culturally sensitive way. Uses… more
    Blue KC (09/30/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... to transition patients across the healthcare continuum in conjunction with Case Managers ( CM ) or Social Workers (SW). The Discharge Planner's primary function is to… more
    Ellis Medicine (08/28/25)
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