A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team.Key ResponsibilitiesDevelop and implement training programs for Claims, Medical Management, and Case Management staffMaintain knowledge of AHCCCS and Medicare regulations to ensure compliance and effective claims adjudicationAnalyze training needs and provide focused training based on data and audit findingsRequired QualificationsHigh School diploma or equivalentTwo years of training experience in an insurance or healthcare environmentThree years of experience with Case Management, Disease Management, or claims typesStrong working knowledge of Microsoft Office SoftwareKnowledge of medical terminology and coding (ICD-9, CPT-4)
Health Plan Claims Educator
A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team. ...
Clinical Nurse Educator - 8k bonus
Collaborates with nurses, nurse educators, physicians, and other healthcare providers and patients and their families to result in teambuilding, synergism, and integrative solutions. EDUCATION/CERTIFICATION: Must be a graduate of an accredited School of Nursing and hold and maintain current a Regist...
Strategic Program Manager
The Strategic Program Manager is responsible for driving the execution of the company's most strategic technology projects ensuring successful execution. The Program Manager drives overall direction, coordination, implementation, execution, control and completion of specific projects ensuring consis...
Licensed Behavioral Health Case Manager
A company is looking for a Licensed Behavioral Health Advocate, Case Management - Remote. ...
Personal Trainer and/or Stretch Flex Coach
Is something missing in your own freelance Personal Training business after all these years? Feeling isolated? Re-boot your passion with Healthtrax Fitness & Wellness and offer your existing clients more & better. ...
Associate Manager, Residential Solar Programs
ASSOCIATE MANAGER, RESIDENTIAL SOLAR PROGRAMS. Duties include frequent external communication and collaboration, including with homeowners participating in the programs and/or their representatives, program servicers, operations and maintenance ("O&M") partners, solar contractors, and ...
Registered Nurse Wellness Coach (remote)
Maintain current "state of the art", working knowledge of behavioral coaching interventions and use of technology within coaching through continuing education, community resources and publications. Health & Wellness Coach Certification (Required). Utilize variable skills to ensure maximum participan...
Community Health Worker-Health & Wellness Medical- Mobile Van
Wheeler Health & Wellness provides an integrated, comprehensive continuum of patient-centered primary care, behavioral health and community resources to enhance health equity and achieve the triple aim of health reform: improve health, reduce costs & increase quality. Community Health Worker-Health ...
Community Health Worker_Diabetes Peer Supporter
Understand nutrition and health topics and interested in improving the health of individuals and communities. The Hispanic Health Council (HHC) is an equal opportunity employer and strives to maintain a workplace that recognizes the differences and diversity of the population of the Greater Hartford...
Opioid and Pain Management Case Manager- Evernorth Health Services - Remote
Our case managers are specially trained in coaching individuals with substance use disorders, comorbidities, and pain management conditions. The case manager offers Specialty Care Management services that utilize a motivational interviewing approach focusing on decreasing both internal and external ...