1 - 10 of 206

healthcare jobs near Dublin, OH


  • Denial Coordinator

    Centene

    - Columbus, OH

    Position Purpose: Generate and process denial letters and Notice of Action (NOA) for pre services, leveling of care and denied medical services. Maintain the denial and/or appeals...

    17 days ago from HEALTHeCAREERS Network
  • Pended Claims Coordinator II

    Centene

    - Columbus, OH

    s for eliminating manual processes Qualifications Education/Experience: High school diploma or equivalent. 5+ years claims experience in a healthcare environment. Accounting...

    17 days ago from HEALTHeCAREERS Network
  • Case Manager II

    Centene

    - Columbus, OH

    Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at...

    30+ days ago from HEALTHeCAREERS Network
  • Case Manager I (Concurrent Review)

    Centene

    - Columbus, OH

    Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure medical...

    30+ days ago from HEALTHeCAREERS Network
  • Case Manager I (Prior-Authorization)

    Centene

    - Columbus, OH

    Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or...

    30+ days ago from HEALTHeCAREERS Network
  • Credentialing Specialist I

    Centene

    - Columbus, OH

    various providers, including physicians, healthcare delivery organizations, or pharmacies, according to applicable specifications Maintain and update credentialing database Assist...

    30+ days ago from HEALTHeCAREERS Network
  • Supervisor, Utilization Management

    Centene

    - Columbus, OH

    Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources...

    30+ days ago from HEALTHeCAREERS Network
  • Behavioral Case Manager

    Centene

    - Columbus, OH

    Position Purpose: This is a part-time position. Candidates will perform duties related to the day-to-day operations of the High Risk Case Management functions to include working...

    30+ days ago from HEALTHeCAREERS Network
  • Community Health Worker

    Centene

    - Ohio

    ## Description Position Purpose: Provide a link between members and available resources to provide the necessary resources in a cost effective manner. * Provide home visits to...

    4 days ago from Centene
  • Behavioral Case Manager - RN

    Centene

    - Columbus, OH

    Position Purpose: This is a part-time position. Candidates will perform duties related to the day-to-day operations of the High Risk Case Management functions to include working...

    18 days ago from Centene Corporation
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