• Denver, CO

Provide a full range of Employee Assistance Program (EAP) services, including counseling, critical incident response, training, and outreach. Maintain case records, establish relationships with clients and stakeholders, and adhere to clinical protoco..

• Detroit, MI

Provide EAP services for a large government agency. Consistently provide exceptional services as a licensed clinician, make referrals to treatment services, and maintain positive working relationships with clients and stakeholders.

• Massena, NY

Provide a full range of Employee Assistance Program (EAP) services for employees, managers, and the employer organization. Consistently provide exceptional and proactive services as a licensed clinician. Make referrals to treatment services and maint..

• Lombard, IL

Conduct physician consultations, provide clinical expertise for planning and improving operations, represent the organization in appeal processes, analyze medical information trends, and ensure compliance with regulations.

• Harrisburg, PA

Lead development of cost models, oversee estimating process, design processes and set metrics, collaborate with teams, manage and mentor pricing and estimating team, provide executive-level presentations, ensure compliance with regulations.

• US National

The VP of Business Expansion will develop and execute upsell and expansion strategies, analyze customer data, implement inside sales plans, monitor sales performance, build stakeholder relationships, and provide leadership opportunities to program teams.

• Cary, NC

Develop and maintain a comprehensive understanding of internal policies, procedures, and services. Efficiently utilize automated systems for logging and retrieving information. Handle inquiries from customers or providers through various channels.

• MD

Respond to customer inquiries, resolve complaints, and fulfill requests with precision and adherence to policies. Investigate and resolve customer problems, escalate challenging situations when necessary, and maintain accurate record-keeping.

• Buffalo, NY

Provide a full range of Employee Assistance Program (EAP) services for employees, managers, and the employer organization. Consistently provide exceptional services, make referrals to treatment services, and maintain positive working relationships...

• Massena, NY

Provide a full range of Employee Assistance Program (EAP) services for employees, managers, and the employer organization. Consistently provide exceptional and proactive services as a licensed clinician, ensuring smooth integration with company...

• Eagle Pass, TX

Provide EAP services for employees, managers, and the employer organization. Deliver exceptional counseling, critical incident response, training, and outreach services. Refer clients to treatment services and community resources.

• Jacksonville, FL

Provide on-site EAP services for a large government agency. Consistently provide exceptional services, direct counseling, referrals, and outreach services. Maintain positive relationships with clients and stakeholders.

• Grand Forks, ND

Provide a full range of Employee Assistance Program (EAP) services, including counseling, critical incident response, training, and outreach. Refer clients to treatment services and community resources, maintain case records, and collaborate with int..

• Cary, NC

Ensure timely assessments for Medicaid beneficiaries by utilizing automated systems, initiating communication, and responding to inquiries. Maintain knowledge of internal policies and consult with supervisor on complex issues.

• OR

Direct, manage, and evaluate functions of behavioral health care coordinators and case managers. Provide clinical leadership and consultation to staff. Collaborate with leadership team to develop unit objectives and goals.

• US National

Produce clear, persuasive, and articulate proposal sections; synthesize technical and other ideas from existing content and input from subject matter experts (SMEs) into easily understandable text; manage multiple writing assignments and prioritize a..

• Rockville, MD, or US National

Perform clinical telephonic assessments and consultations, provide comprehensive referrals, and ensure diligent follow-up for employees and their family members covered by the Employee Assistance Program.

• Charleston, WV

The Technical Support Liaison will provide technical support to end-users, troubleshoot and resolve technical problems, document and track support activities, assist with testing and implementation of new technology solutions, and conduct training se..

• Charleston, WV

Provide comprehensive technical assistance and support for computer systems, software, and hardware. Swiftly diagnose and resolve technical issues, while improving user experience and collaborating with IT team and cross-functional departments.

• Harrisburg, PA

Provide telephone and/or e-mail-based customer support to both internal and external customers. Fulfill requests for information, document all calls/questions made for tracking/trending, and assist with heavy call volume within assigned queues.

• AL

Perform prior authorization reviews for the Alabama Utilization Management contract, review and interpret patient records, determine medical necessity and appropriateness of care, maintain medical records confidentiality.

• Tallahassee, FL

Precisely manage claims tracking system, investigate and rectify issues during claims entry process, facilitate internal communication, proactively identify challenging scenarios and escalate them to relevant stakeholders.

• US National

Lead the successful delivery of Full Potential Analysis initiatives, oversee the project lifecycle from conception to completion, manage project plans, coordinate with cross-functional teams, and identify opportunities for process improvement.

• South Portland, ME

Answering incoming telephone calls, resolving customer questions and complaints, maintaining knowledge of internal policies and procedures, utilizing automated systems for data entry and retrieval.

• Los Angeles, CA

Utilization Clinical Reviewer responsible for reviewing patient records, determining medical necessity and care appropriateness, maintaining production goals and QA standards, fostering relationships with stakeholders, and ensuring compliance with re..

• AL

Perform prior authorization reviews for Alabama Utilization Management contract using clinical expertise, critical thinking, and decision-making skills. Maintain production goals, QA standards, and regulatory compliance. Foster positive relationships..

• OR

Direct, manage, and evaluate functions of behavioral health care coordinators and case managers. Provide clinical leadership and consultation to staff. Collaborate with leadership team to develop unit objectives and goals.

• Los Angeles, CA

Evaluate medical records, determine medical necessity and care appropriateness, maintain quality assurance standards, attend training and meetings, and ensure confidentiality. Minimum 2 years of experience and active California Counseling License req..

• Minneapolis, MN

Utilization Management-Mental Health Clinical Reviewer to review medical records against appropriate criteria, adjust work schedules, maintain knowledge base, act as liaison with internal and external customers, attend training, and cross-train to...

• Minneapolis, MN

Utilize clinical expertise to review medical records against criteria, assess daily workload and queues, maintain knowledge base, act as a liaison for customer service, attend training and meetings, and cross-train to meet client needs.

• NC

Lead the non-clinical team, oversee team activities, train and educate staff, complete assigned projects, collaborate with program managers, maintain professional relationships, and identify opportunities for improvement.

• NC

Lead and coordinate non-clinical team, manage projects, develop and train staff, ensure compliance, oversee productivity and performance, collaborate on process improvement, and maintain stakeholder relationships.

• Redding, CA

Conduct clinical assessments, diagnose mental/psychiatric disorders, collaborate with healthcare professionals, utilize computer applications. Must have active unrestricted licensure in California and 2-3 years of related experience.

• Tarboro, NC (Not hiring in NC)

Conduct assessments for PCS and CAP programs, determine eligibility, provide guidance to beneficiaries, submit completed assessments using state-approved interface, participate in mediation/appeals. RN/LCSW license required. 2+ years of experience pr..

• Wichita, KS

Conduct clinical assessments, make informed decisions regarding appropriate level of care and service needs, communicate effectively with healthcare professionals, patients and their families. Stay informed on current literature, regulations and rese..

• Richmond, VA

Conduct reviews for at-risk individuals, oversee mental health and substance abuse treatment, participate in team meetings, provide educational support, and implement interventions to elevate member care. Current and Active Licensure for the State of...

• Monroe, NC

Conduct assessments to determine eligibility for Medicaid-funded personal care services and home and community-based waivers. Ensure privacy and dignity of individuals during assessments and maintain accurate records. Participate in mediation and app..

• Wilmington, NC

Clinical Assessor needed to determine Medicaid-funded personal care services eligibility in homes or adult care/supervised living homes. Assess level of care to allow individuals to remain in or return to a home and community-based setting.

• Jacksonville, NC

Conduct assessments for PCS and CAP eligibility. Ensure services are provided based on Beneficiary's unmet needs. Maintain privacy and dignity of individuals. Attend staff meetings and conduct case consultations.

• US National

Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns.

• Greenville, NC

Assess Medicaid beneficiaries' eligibility for personal care services and waivers, conduct needs-based assessments, develop service plans, and ensure privacy. RN license and 2+ years of home care experience preferred.

• Raleigh, NC

Conduct needs-based eligibility determinations for Medicaid-funded personal care services and complete assessments for home and community-based waivers. Participate in mediation and appeal processes, attend staff meetings, and conduct case consultati..

• Winston-Salem, NC

Conduct assessments for eligibility and level of care for Medicaid-funded personal care services and community-based programs. Maintain privacy and dignity of individuals during assessments. Participate in mediation, appeals, staff meetings, and case..

• Greensboro, NC

Conduct Medicaid eligibility assessments for personal care services and waivers using state-approved tools. Attend meetings, participate in appeals, and maintain privacy. RN/LCSW with 2+ years of experience preferred.

• Goldendale, WA

Conduct onsite assessments to determine appropriate care for local populations. Offer evaluations and recommendations to enhance patient well-being. Work remotely and travel to patients within surrounding areas.

• Santa Rosa, CA

Conduct comprehensive clinical assessments, make accurate diagnoses, analyze patient functioning, adhere to essential workflows, collaborate with healthcare professionals, prioritize tasks with attention to detail.

• San Jose, CA

Conduct comprehensive clinical assessments, including pre-admission screenings and evaluations, to determine the precise level of support and care needed by patients. Leverage your clinical expertise to make accurate diagnoses.

• Pasadena, CA

Conduct comprehensive clinical assessments, diagnose patients with mental/psychiatric disorders, and formulate recommendations for their level of care. Collaborate with healthcare professionals and prioritize tasks with attention to detail.

• Gastonia, NC

Conduct needs-based assessments for Medicaid-funded personal care services and home and community-based waivers. Provide guidance to beneficiaries and participate in mediation and appeal processes. Requires RN or LCSW license and knowledge of Medicai..

• Sanford, NC

Conduct Medicaid eligibility assessments for personal care services and community alternatives. Maintain privacy and dignity of individuals. Participate in mediation, appeals, respond to inquiries, and attend staff meetings.