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Elevance Health
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St. Louis, Missouri
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Nursing and minimum of 2 years of related experience with clinical emphasis for nurse practitioner; or any ... required if this individual is providing services in multiple states.
Satisfactory completion of a
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Elevance Health
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Houston, Texas
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Be Part of an Extraordinary Team
_A proud member of the Elevance Health family of ... Houston, TX 77077.** Candidates must reside within 50 miles or 1-hour commute each way of a relevant
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Elevance Health
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Topeka, Kansas
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medical records of denied services for medical necessity.
Extrapolates and summarizes medical ... and providers.
How you will make an impact:
Conducts investigations and reviews of
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Elevance Health
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Olathe, Kansas
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medical records of denied services for medical necessity.
Extrapolates and summarizes medical ... and providers.
How you will make an impact:
Conducts investigations and reviews of
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Elevance Health
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Los Angeles, California
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candidates reside in a PST or MST state and within 50 miles of an Elevance Health Pulse Point location ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Topeka, Kansas
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Manager I* is responsible for performing care management within the scope of licensure for members with ... :*
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify
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Elevance Health
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Olathe, Kansas
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Manager I* is responsible for performing care management within the scope of licensure for members with ... :*
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify
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Elevance Health
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St. Louis, Missouri
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hybrid model (remote and office). The Ideal candidate will live within 50 miles of the Elevance Health ... care management within the scope of licensure for members with complex and chronic care needs by
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Elevance Health
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Richmond, Virginia
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of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and
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Elevance Health
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Buffalo, New York
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of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and
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Elevance Health
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Mason, Ohio
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of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and
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Elevance Health
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Indianapolis, Indiana
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of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and
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Elevance Health
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Sevierville, Tennessee
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cost effective and efficient utilization of long-term services and supports.
At the direction of ... visits to member homes and/or nursing facilities.**
SIgn-on Bonus:$2500
The **LTSS
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Elevance Health
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St. Louis, Missouri
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of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and
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Elevance Health
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St. Louis, Missouri
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, and connection. **This is a virtual position, but you must reside within 50 miles of an Elevance ... performing care management within the scope of licensure for members with complex and chronic care needs by
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Elevance Health
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Indianapolis, Indiana
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Charlottesville, Virginia
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should live in one of the** areas below , and Virginia residency is required.
**HOURS ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Knoxville, Tennessee
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cost effective and efficient utilization of long-term services and supports.
At the direction of ... field visits to member homes and/or nursing facilities.**
SIgn-on Bonus:$2500
The
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Elevance Health
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Grand Prairie, Texas
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Atlanta, Georgia
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Norfolk, Virginia
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Kansas
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utilization of BH services; supports process improvement and quality assurance activities; ensures adherence ... or federal requirements that may apply; provided that the manager's director has one of the types of
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Elevance Health
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Mason, Ohio
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Columbus, Georgia
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Harrisonburg, Virginia
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should live in one of the** areas below , and Virginia residency is required.
**HOURS ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Staunton, Virginia
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should live in one of the** areas below , and Virginia residency is required.
**HOURS ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Topeka, Kansas
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responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination, accurate
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Elevance Health
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St. Louis, Missouri
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Houston, Texas
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care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by
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Elevance Health
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Waynesboro, Virginia
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should live in one of the** areas below , and Virginia residency is required.
**HOURS ... management within the scope of licensure for members with complex and chronic care needs by assessing
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