- Elevance Health (Mason, OH)
- ** Medical Management Clinician Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... Monday - Friday 8a - 5p EST (with weekend rotation)** The ** Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent… more
- Elevance Health (Cincinnati, OH)
- ** Medical Management Clinician ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... behavioral health, long term services and supports, and psychosocial needs._ The ** Medical Management Clinician ** responsible for ensuring appropriate,… more
- Molina Healthcare (Covington, KY)
- …Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (Covington, KY)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- Molina Healthcare (Cincinnati, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- ChenMed (Cincinnati, OH)
- …team. Job Profile Summary The Care Promoter 1, Float is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep ... the medical centers running smoothly. The duties of Care Promoter1,...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- ChenMed (Cincinnati, OH)
- …people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- ChenMed (Cincinnati, OH)
- …to join our team. The Care Promoter 1, Float is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter1,...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- OptiMindHealth (Cincinnati, OH)
- …Work/life balance! Leadership and advancement opportunities! Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... to our clinicians. Packages can be customized towards every clinician 's needs. Packages can include some combination of: ....can include some combination of: . Competitive Salary . Medical benefits . Paid malpractice policy . CEU reimbursement… more
- Elevance Health (Mason, OH)
- …meetings with state regulators. **How you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to members and ... is granted as required by law. The **Plan Performance Medical Director** serves as a lead clinician and oversees the administration of medical services… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and floating across our other east central locations to assist with high volume, clinician leave of absence and PTO coverage. The patient population will vary based ... Compensation for this position will be above typical starting clinician ranges due to the expectation of flexibility. **Job...of services, orders, goals, etc. in the patient's electronic medical record in an accurate and timely manner. Provides… more
- Valor Health (Cincinnati, OH)
- …presentations related to mental health diagnoses (eg, sleep, pain, adherence to medical regimen, adjustment to illness), psychosocial stressors, grief or phase of ... life difficulties (eg, discrimination, stress management , coping with loss, transition to civilian life), and mild-moderate severe mental health presentations. *… more