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Professional Contract Services (PCSI) Logo
Executive Housekeeper
Professional Contract Services (PCSI)

Bethesda, Maryland

Nemours Logo
Sr Project Manager
Nemours

Orlando, Florida

NEW!
BJC HealthCare Logo
Sterile Processing Tech II-BJH
BJC HealthCare

Saint Louis, Missouri

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BJC HealthCare Logo
Floor Finisher
BJC HealthCare

Saint Peters, Missouri

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Director of Emergency Management and Emergency Medical Services
BJC HealthCare

Belleville, Illinois

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St. Charles Health System Logo
Manager Community Pharmacy
St. Charles Health System

Madras, Oregon

NEW!
Nicklaus Children’s Health System Logo
Anesthesiologist Assistant (POOL/Staff Relief, Day shift)
Nicklaus Children’s Health System

Miami, Florida

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Atlantic Health System Logo
Environmental Aide I
Atlantic Health System

NJ,

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WMCHealth Logo
Transaction Posting Lead
WMCHealth

West Nyack, New York

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University of Maryland Medical System Logo
Second Cook
University of Maryland Medical System

Baltimore, Maryland

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CHRISTUS Health Logo
Coordinator Patient Placement - Nursing Administration - Full Time
CHRISTUS Health

Texarkana, Texas

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Catering Associate
WMCHealth

Suffern, New York

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Atlantic Health System Logo
Environmental Aide I
Atlantic Health System

NJ,

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Atlantic Health System Logo
Certified Medical Assistant II (CMA), Full Time - AMG Medical Specialty - Bridgewater
Atlantic Health System

Bridgewater, New Jersey

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Regional Director-Consumer Access
AdventHealth

Hinsdale, Illinois

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Atlantic Health System Logo
Patient Transporter
Atlantic Health System

Summit, New Jersey

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University of Maryland Medical System Logo
Third Cook
University of Maryland Medical System

Baltimore, Maryland

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CHRISTUS Health Logo
Maintenance Technician Senior - Plant Ops Other
CHRISTUS Health

Alamogordo, New Mexico

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Penn State Health Logo
Patient Escort Service Aide - Patient Transport
Penn State Health

Hershey, Pennsylvania

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Atlantic Health System Logo
Environmental Aide I
Atlantic Health System

NJ,

NEW!
University of Maryland Medical System Logo
Dietary Aide
University of Maryland Medical System

Baltimore, Maryland

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WMCHealth Logo
Transporter
WMCHealth

Suffern, New York

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St. Charles Health System Logo
Supply Chain Inventory Coordinator
St. Charles Health System

Bend, Oregon

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University of Maryland Medical System Logo
Utility Worker
University of Maryland Medical System

Baltimore, Maryland

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Materials Management Specialist - Westwood
UCLA

Los Angeles, California

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Medical Director Appeals Grievances
JOB SUMMARYThe Medical Director, Appeals and Grievances provides leadership for Community Health Choice medical management programs. This includes reviewing appeals of adverse determinations, tracking them and providing feedback to Medical Affairs on current overturn trends. In addition will provide clinical input and oversight for Care (Disease) Management, Quality Improvement, Credentialing, and Preventive Health programs. Will work with Provider Relations to maintain and improve relationships with the provider community especially with Value based arrangements. Will perform medical necessity reviews as assigned including reviews with peer-to- peer interactions as needed and other duties as assigned.


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