CommUnityCare Jobs in United States

The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying issues related to and/or participates in various projects aimed at identifying areas of non-compliance and/or potential fraud, waste and abuse, as it relates to provider billin ...

Responsible for providing daily guidance and instruction to inspire the team to perform at their optimum. · ...

The Member Advocate II will provide exceptional service to our members that require customer service assistance in person at our Senior Center. · Use effective listening skills to understand the needs and complaints of the customer too offer them the best possible solution and en ...

Financial Eligibility Specialist · This is a full-time opportunity at our Vliet St. Location. · Job Responsibilities: · Oversee the accumulation, transmission, and dissemination of member information including eligibility processes. · Collaborate with other departments regarding ...

Compliance And Risk Management Specialist · The Compliance and Risk Management Specialist assists in the ongoing success of CommunityCare's Compliance program and Enterprise Risk Management (ERM) program. The Specialist will work closely with the VP, Chief Compliance and Risk Of ...

Registered Dental Assistant · We are seeking a skilled and compassionate Registered Dental Assistant to join our team at CommUnityCare. In this role, you will work closely with patients, families, and staff across all disciplines to provide exceptional chair-side assistance to ou ...

Job Title · In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for serving as the initial point of contact for new and established CommUnityCare patients. Functions include appointment scheduling, p ...

Overview · The Nurse Manager is responsible for the development, performance, and management of clinical patient care for nursing, medical assistants and other team members in clinical support roles. · Responsibilities · Essential Duties: · • Manages the clinical support team. Im ...

Job Title: · Registered Dental Hygienist · Responsibilities: · Deliver oral hygiene services including evaluation of teeth and gums, recording presence of disease, abnormalities, and restorations. · Take, develop and mount X-rays. · <p Style= ...

Vendor Management Administrator · The Vendor Management Administrator is a critical role in partnering with internal stakeholders to ensure timely execution and ongoing needs of vendors. · Main Responsibilities: · <ul style= ...

+Job summary · Customer service representative responsible for handling membership related questions and providing excellent service to customers. · ResponsibilitiesProcess incoming inquiries regarding multiple products from members. · Achieve first call resolution by communicati ...

JOB SUMMARY: · The Vendor Management Administrator is responsible for centrally supporting vendor selection, due diligence, contract negotiation, and ongoing internal relationship management activities relative to vendors. This position plays a key role in partnering with interna ...

Pediatrics And Obstetrics Care Manager · In partnership with patients, their families (as defined by the patient), and multidisciplinary teams, the Registered Nurse, Care Manager Pediatrics and Obstetrics delivers patient-centered care coordination for individuals requiring speci ...

Overview · In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for providing direct and appropriate clinical care and treatment to patients in the specialty area of Obstetrics and Gynecology. · Respo ...

Customer Service Representative · Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims an ...

Overview · JOB SUMMARY · The Sr. Director Finance - CUC is responsible for overseeing day-to-day financial activities, ensuring accuracy, maintaining internal controls, and managing accounting teams. This role partners with operational leaders to support short-term strategy, budg ...

Pediatrics And Obstetrics Care Manager · In partnership with patients, their families, and multidisciplinary teams, the Registered Nurse, Care Manager Pediatrics and Obstetrics delivers patient-centered care coordination for individuals requiring specialized services. The Care Ma ...

Administrative Assistant, Full Time - Walworth, Wisconsin · Community Care is hiring a Administrative Assistant to join our team. This rewarding opportunity is perfect for someone who enjoys team collaboration and being part of a mission driven organization. Community Care's miss ...

Accountable for managing medium to large-scale projects or complex initiatives that require strong collaboration across business and IT teams. · Oversight of multiple medium to large business and IT projects or a single complex initiative, from planning through implementation. · ...

The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. · ...