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Harris Health System Logo
Security Officer II-FT/Evening Shift (Ben Taub Hospital)
Harris Health System

Houston, Texas

NEW!
BJC HealthCare Logo
Supply Distribution Technician
BJC HealthCare

Saint Louis, Missouri

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Beebe Healthcare Logo
PROJECT MANAGER - SITE DEVELOPMENT
Beebe Healthcare

Lewes, Delaware

NEW!
WakeMed Health & Hospitals Logo
Public Safety Officer
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
Harris Health System Logo
Director, Product Development
Harris Health System

Houston, Texas

NEW!
WakeMed Health & Hospitals Logo
EHS & Preparedness Officer - Environmental Health & Safety
WakeMed Health & Hospitals

Raleigh, North Carolina

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Baylor Scott & White Health Logo
Guest Relations Coordinator (Full-time)
Baylor Scott & White Health

Plano, Texas

NEW!
Harris Health System Logo
Vice President and Controller
Harris Health System

Houston, Texas

NEW!
Northeast Georgia Health System Logo
Security Liaison Officer -FT - Shift Varies
Northeast Georgia Health System

Gainesville, Georgia

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UCLA Logo
Parking Assistant - Santa Monica Hospital (part time)
UCLA

Santa Monica, California

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WakeMed Health & Hospitals Logo
Public Safety Officer
WakeMed Health & Hospitals

Raleigh, North Carolina

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BJC HealthCare Logo
Floor Finisher
BJC HealthCare

Belleville, Illinois

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University of Maryland Medical System Logo
Kitchen Attendant/Utility - part time
University of Maryland Medical System

Largo, Maryland

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PIH Health Logo
Hospital Assistant, (Radiology), On Call, Variable Shift
PIH Health

Whittier, California

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BJC HealthCare Logo
Housekeeper
BJC HealthCare

Shiloh, Illinois

NEW!
BJC HealthCare Logo
Supply Distribution Technician
BJC HealthCare

Saint Louis, Missouri

NEW!
Vail Health Logo
Cook
Vail Health

Vail, Colorado

NEW!
CHRISTUS Health Logo
Patient Transporter - Transporters
CHRISTUS Health

San Antonio, Texas

NEW!
Harris Health System Logo
Retail Manager- Food and Nutrition Services- LBJ Hospital- Full-time
Harris Health System

Houston, Texas

NEW!
PIH Health Logo
Hospital Assistant, (Radiology), Full Time, Night Shift
PIH Health

Whittier, California

NEW!
AdventHealth Logo
Infection Prev Program Mgr
AdventHealth

Parker, Colorado

NEW!
CHRISTUS Health Logo
Culinary Supervisor Food and Nutrition/ Full-Time
CHRISTUS Health

Santa Fe, New Mexico

NEW!
BJC HealthCare Logo
Housekeeper
BJC HealthCare

Saint Louis, Missouri

NEW!
PIH Health Logo
Patient Registration Representative I Cardiology
PIH Health

Los Angeles, California

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University of Maryland Medical System Logo
Cisco Network Engineer V- Hybrid Role
University of Maryland Medical System

Columbia, Maryland

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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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