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Quality Management Nurse Associate LPN

About the positionResponsibilities Review and approve pre-service post-acute denial correspondence. Collaborate with RNs and Medical Directors on denial letter language. Ensure compliance with CMS requirements for denial letters. Identify needs...

Case Manager Nurse – Registered Nurse, Licensed...

Job Description: Evaluating and coordinating care for members to improve their overall health and wellness. Assessing medical needs and eligibility. Developing care plans to address short- and long-term health goals....

Claim Benefit Specialist

Job Description: Performs claim documentation review Verifies policy coverage Assesses claim validity Communicates with healthcare providers and policyholders Ensures accurate and timely claims processing Contributes to the efficient handling of...

Apply Now-Part Time Remote Data Entry Job (CVS ...

CVS Health is hiring for Part-Time Remote Data Entry positions, perfect for those looking to work from home with a flexible schedule. As a Data Entry Clerk, you’ll be responsible...

Call Center Agent, Services and Benefits (Remot...

<p>Bring your heart to . Every one of us at shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to...

Customer Service Representative / Remote

<p>We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in...