Medicaid Appeals - Richmond

· Description · *This position is on-site in the Willow Lawn area of Richmond* · As a Medical Insurance Collections Associate, you are responsible for filing insurance claims, managing patient accounts, and answering account status inquiries on optometry and ophthalmology patien ...

The Utilization Review Nurse is responsible for completion of admission, concurrent and retrospective reviews for designated health plans. · Completion of admission reviews · Concurrent documentation · ...

+Job summary+The RN Case Manager leads the development and implementation of the interdisciplinary plan of care for patients.+ · +Qualifications:Bachelor of Science degree in Nursing preferred. · Three (3) or more years of experience in an acute patient care setting preferably in ...

The RN Case Manager works with healthcare teams to ensure efficient patient care and develop comprehensive cost-effective case management plans. · Bachelor of Science degree in Nursing preferred. · Three (3) or more years of experience in an acute patient care setting preferably ...

The RN Case Manager leads the development · & implementation of interdisciplinary plans of care for patients, · determining appropriate levels of care & ensuring effective quality & cost-efficient outcomes.Works with healthcare team to ensure plan of care is expedited · & barrie ...

The RN Case Manager II will lead the development and implementation of the interdisciplinary plan of care for patients, determining the appropriate level of care and ensuring effective quality and cost-efficient outcomes. Leads multidisciplinary case conferences in developing com ...

+Job summary · The RN Case Manager III/ Lead Case Manager is responsible for leading the development and implementation of the interdisciplinary plan of care for patients. · +Works with the healthcare team to ensure the plan of care is expedited. · Createsschedule reviews initial ...

We attract healthcare's most talented trailblazers who appreciate having the best of both worlds: · the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. · ...

· **** **** Applicants MUST LIVE in the State of California**** ******Next Cohort Begins: 5/5/2026 · PLEASE NOTE: "This is a grant-funded training program, not an employment opportunity" Employment is not guaranteed at the completion of the program** Selection for participation ...

**** **** **** Applicants MUST LIVE in the State of California**** ******Next Cohort Begins: 5/5/2026 · **PLEASE NOTE: "This is a grant-funded training program, not an employment opportunity" Employment is not guaranteed at the completion of the program** · Selection for particip ...

We are seeking a PRN Medical Reviewer to conduct prospective, concurrent and retrospective clinical reviews of medical services to determine medical necessity and appropriateness. · ...

The Physician Reviewer in Utilization Management (UM) conducts clinical reviews of medical necessity, appropriateness, and efficiency of healthcare services. · Conduct prospective, concurrent, and retrospective clinical reviews of medical services to determine medical necessity a ...

Baker Tilly Advisory Group LP and Baker Tilly US LLP are seeking a Learning Experience Design Senior to join their team. · ...

· **** **** **** Applicants MUST LIVE in the State of California**** ******Next Cohort Begins: 5/5/2026 · **PLEASE NOTE: "This is a grant-funded training program, not an employment opportunity" Employment is not guaranteed at the completion of the program** · Selection for parti ...

· Description · **** **** **** Applicants MUST LIVE in the State of California**** ****** Next Cohort Begins: 5/5/ · **PLEASE NOTE: "This is a grant-funded training program, not an employment opportunity" Employment is not guaranteed at the completion of the program** ...

We are rapidly expanding our mission and looking for passionate team members to join Abby Care as Medical Billers for Home Health Services. They will report into the Director of RCM. · ...

The Contra Costa Health Plan (CCHP) is seeking a seasoned, mission-driven Medical Director (Chief Medical Officer, CMO) to serve as a key member of the Executive Leadership Team and provide clinical leadership for one of California's most distinctive public managed care organizat ...

This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. · ...

Location: West (San Francisco) · Position Summary: · The Field Reimbursement Manager (FRM) serves as key field-based expert in market access and reimbursement, and the subject matter expert in navigating the reimbursement and access landscape for healthcare providers, office staf ...

Aya Healthcare has an immediate opening for the case manager registered nurse in San Francisco CA. · We'll work with you to build the healthcare career of your dreams whether you want a job close to home or across the country we've got you. · ...

Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in San Francisco. · ...