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Displaying results 1 - 15 of 100

Lead Case Manager I (Prior Auth)

Celtic Insurance Company - Waltham, MA

Position Purpose: Review inpatient admissions and/or radiology services (MRI's, CAT Scans, etc) to assure appropriate level of care and medical necessity. Assist Case Manager I's with complicated reviews and coordinate case load among staff. Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Provide consultat...

Application Deadline: None

Executive Assistant

Celtic Insurance Company - Waltham, MA

Position Purpose: Relieves the executive of administrative type functions in order to increase the time the executive has available for senior level responsibilities. Communicates and interprets administrative and operating policies and procedures. Assists in the preparation and coordination of records, statistics, and reports regarding operations, etc. Gath...

Application Deadline: None

Customer Service Representative I (Member)

Celtic Insurance Company - Waltham, MA

Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources Provide assistance to members and/or providers regarding website regi...

Application Deadline: None

Workforce Analyst I

Celtic Insurance Company - Waltham, MA

Position Purpose: Use ACD phone system to assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines of business and all locations. Evaluate staffing adjustments and re skilling of agents as necessary to provide adequate phone coverage. Monitor real-time call activity at various call c...

Application Deadline: None

Concurrent Review Nurse

Celtic Insurance Company - Waltham, MA

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 necessity and appropriate level of care Review and audit patient charts through on-site hospital visits Act as clinical resources to referral staff and make appropriate referrals ...

Application Deadline: None

Manager, Customer Service

Celtic Insurance Company - Waltham, MA

Position Purpose: Plan and manage assigned customer service function at the health plan to meet overall business goals and objectives. Manage the workflow of the customer service function and communicate standards Analyze department performance; develop, implement and maintain production/performance standards in line with Company goals and objectives Ensure ...

Application Deadline: None

Referral Specialist I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Program Coordinator I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying ...

Application Deadline: None

Trainer II (Claims)

Celtic Insurance Company - Bedford, NH

Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools. Conduct training needs analyses to determine specific training needs for department staff and evaluate effectiveness Identify, develop and conduct appropriate training programs, including selecting and designing appropriate training aids Facili...

Application Deadline: None

Trainer II (Claims)

Celtic Insurance Company - Waltham, MA

Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools. Conduct training needs analyses to determine specific training needs for department staff and evaluate effectiveness Identify, develop and conduct appropriate training programs, including selecting and designing appropriate training aids Facili...

Application Deadline: None

Referral Specialist I/Letter Writer

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Retail Sales Consultant

Havertys Furniture - Huntersville, NC

Retail Sales Consultant This position is in Huntersville, NC Retail Sales Consultant Are you interested in a retail sales position that you can turn into a fun and rewarding career with a great company? Join our team at Haverty Furniture Companies! A trusted name and iconic brand in the furniture business, we...

Application Deadline: None

Medical Technologist

Department of Veterans Affairs - San Antonio, TX

Duties: You will be assigned as Medical Technologist for the South Texas Veterans Health Care System (STVHCS) in the Pathology and Laboratory Service. The incumbent will carry out the day to day operations in the laboratory. This would include: ·        Complete routine testing, quality control, routine maintenance of instrumentation and troubleshooting. ·        Develop, perf...

Application Deadline: None

RECREATION THERAPIST

Department of Veterans Affairs - Madison, WI

Duties: The Recreation Therapist is located within the Physical Medicine and Rehabilitation Service (PMRS) at the William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin. The primary purpose of this position is to provide recreation, music, and/or art therapy activities to the Veterans residing in the Community Living Center (CLC).  Major duties and responsibilities include:

Application Deadline: None
- Veteran committed job