EmploymentCrossing Jobs

Law Clerk - USA-NC-Waxhaw

Wed, 12 Oct 2022 00:00:00 CDT

Law Clerk The candidate should be from an accredited law school, working towards admission to the Bar. Must have a strong desire to practice in the area of special education law and litigate cases at...

Grievance & Appeals Representative 3 - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-NC-Charlotte

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

Part Time Bilingual File Administrator - USA-NC-Charlotte

Fri, 02 Dec 2022 00:00:00 CST

Part Time Bilingual File Administrator The candidate will be communicating in both English and Spanish. Will work closely with administrative and legal staff in order to support the office. Maintain ...

Sales Manager, Ovation - USA-NC-Charlotte

Thu, 23 Mar 2023 00:00:00 CDT

Ovation Credit Services is now a LendingTree Company! Ovation is a leading provider of credit services with a strong customer service reputation. Ovation utilizes a proprietary software application th...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-NC-Charlotte

Fri, 07 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

RN Care Coach CenterWell Charlotte, NC - USA-NC-Charlotte

Fri, 29 Jul 2022 00:00:00 CDT

Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate i...

RN Case Manager - Telephonic Nurse 2 -Compact Licensure Required (Remote) - USA-NC-Charlotte

Thu, 21 Jul 2022 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding memb...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-NC-Charlotte

Sat, 27 Aug 2022 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Grievances & Appeals Representative 3 (APPEALS only) FULLY BILINGUAL English/Spanish - USA-NC-Charlotte

Sat, 10 Sep 2022 00:00:00 CDT

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grieva...

RN Care Manager - Charlotte, NC - $10K Sign-on Bonus - USA-NC-Gastonia

Thu, 01 Sep 2022 00:00:00 CDT

Job Information Centerwell RN Care Manager - Charlotte, NC - $10K Sign-on Bonus in Gastonia North Carolina Description The RN Care Manager assesses and evaluates member's needs and requirements to ach...

Grievances & Appeals Representative - USA-NC-Charlotte

Sun, 13 Nov 2022 00:00:00 CST

Personal Injury Paralegal/legal Assistant - USA-NC-Charlotte

Sat, 26 Nov 2022 00:00:00 CST

Personal Injury Paralegal/Legal Assistant The candidate communicates in accordance with, and understanding of, applicable State Bar rules related to protected information, confidentiality, and the un...

Nurse Advice Line Telephonic Nurse - RN Compact License States Only - USA-NC-Charlotte

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Charlotte North Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, a...

Utilization Management & Medical Coding Registered Nurse, RN - USA-NC-Charlotte

Fri, 16 Dec 2022 00:00:00 CST

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

RN, Utilization Management - Behavioral Health - USA-NC-Charlotte

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Pre-Authorization Nursing Supervisor - USA-NC-Charlotte

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Bilingual Quality Auditor - USA-NC-Charlotte

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Charlotte North Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medi...

Personal Injury Attorney - USA-NC-Charlotte

Thu, 02 May 2024 00:00:00 CDT

A law firm in Charlotte is seeking a Personal Injury Attorney with 5+ years of personal injury practice experience. The candidate will be responsible for managing all non-priority client files, ove...

Personal Injury Attorney - USA-NC-Charlotte

Wed, 15 May 2024 00:00:00 CDT

A law firm is seeking a Personal Injury Attorney in Charlotte. The Personal Injury Attorney will oversee cases to ensure exceptional service for clients, handle escalated calls, negotiate claims, a...