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Case Manager II (56346)
Professional Management Enterprises
-
Virginia Beach, VA
Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. This will include potential home visits to complete assessments as well as completion of telephonic assessments, completion of integrated care plans, and conducting interdisciplinary care team meetings. In addition, conducting ne
Email Job
Posted Today
Case Manager I (56341)
Professional Management Enterprises
-
Indianapolis, IN
Responsible for health care management and coordination of healthcare members Works with members to create and implement an integrated collaborative plan of care. Conducts assessment of member needs by collecting in depth information from healthcare information system, the member, member's family/caregiver, hospital staff, physicians, and other providers. Develops and imp
Email Job
Posted Today
Clinical Administrative Coordinator (CAC)
Professional Management Enterprises
-
Indianapolis, IN
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Email Job
Posted Today
Customer Care Rep
Professional Management Enterprises
-
Indianapolis, IN
A customer service representative, or CSR, will act as a liaison, provide services information, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. The best CSRs are genuinely excited to help customers. They're patient, empathetic, and passionately communicative. They love to talk. Customer service representatives can put
Email Job
Posted 1 day ago
Member Advocate (118515)
Professional Management Enterprises
-
Indianapolis, IN
Seeking a Member Advocate to act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care. This is a hybrid position requiring 1 week per month in office. Sc
Email Job
Posted 1 day ago
Customer Care Representative
Professional Management Enterprises
-
Indianapolis, IN
Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accura
Email Job
Posted 1 day ago
Credentialing Specialist (33018089)
Professional Management Enterprises
-
Columbia, SC
Seeking a Credentialing Specialist to be responsible for the completion of the initial credentialing and re credentialing process of providers to the network. Fully remote but will require onsite training. The schedule is M F 8 00a 4 30p. Job Essentials Maintains credentialing database and ensures provider databases are current and accurate. Provides assistance to network
Email Job
Posted 1 day ago
RN Care Manager II (118667)
Professional Management Enterprises
-
Indianapolis, IN
Seeking an RN Care Manager II to p rovide Care Management duties to include telephonic outreach to members, assess members for complex medical needs, develop and update care plans, assess members current health , resource utilization , assess progress to goals , assist member with coordinating services and appointments , provide member education, assist with access to com
Email Job
Posted 2 days ago
Data Capture Operator
Professional Management Enterprises
-
Marion, IN
Data Capture Specialist is responsible for the accurate capture of the alphabetic, numeric, or symbolic data from electronic images and/or source documents according to the custom developed software application including repair of incorrect data resulting from OCR process (optical character recognition results). Pay Rate $14.85hr (Weekly Pay) Work Schedule Monday (9 00 am
Email Job
Posted 2 days ago
Equipment Mechanic Trainee
Professional Management Enterprises
-
Indianapolis, IN
Perform preventive maintenance as needed. Complete assigned repair work as required. Notify appropriate personnel on any visible major problems. Keep work orders up to date. Order parts and maintain garage stock room. Keep area of assignment clean and orderly. Assist in unloading the supply truck and loading old tires, empty oil drums etc. Periodically complete training f
Email Job
Posted 2 days ago
LPN, Nights
Professional Management Enterprises
-
West Lafayette, IN
Administers medications and treatments in accordance with all accepted standards for administration; Provides safe, efficient personal care of residents; Uses recommended safety devices and follows infection control standards; Answers call lights and residents' requests for assistance; Adheres to resident's rights at all times; Documents medications and treatments adminis
Email Job
Posted 3 days ago
Case Manager I (56117)
Professional Management Enterprises
-
Arlington Heights, IL
PME is looking for a Healthcare Case Manager I (RN, LCSW, LMSW) experienced in Case Management working with complex medical and mental illness cases. The position will require field visits 3 days a week and the rest will be from home. Schedule M F 8 30am 5 00pm CST. MUST live in within 30 minutes of ARLINGTON HEIGHTS, BARTLETT, HANOVER PARK, BARRINGTON, ELGIN, MOUNT PROSP
Email Job
Posted 3 days ago
Entry-Level Technical Writer
Professional Management Enterprises
-
Indianapolis, IN
Professional Management Enterprises, inc. is looking for an entry level Technical Writer. Their role is to employ their technical knowledge to research, document, and present detailed information in easy to interpret guides, help manuals, white papers, templates, web pages, videos, journal articles, etc. The Technical Writer will transform complex information into concise
Email Job
Posted 3 days ago
(RN) Community Well Care Coordination Manager
Professional Management Enterprises
-
Indianapolis, IN
The Community Well Care Coordination Manager must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordination Manager must, at a minimum, be a registered nurse or simil
Email Job
Posted 6 days ago
SPARK Learning Lab Trainer
Professional Management Enterprises
-
Indianapolis, IN
The trainer is responsible for facilitation of a range of training content, primarily for Indiana early childhood education professionals and program leaders, SPARK IN staff/partners, and for broader external audiences. This position is remote in Indiana, with travel to provide training coverage . Essential Duties & Responsibilities Supports the implementation of technica
Email Job
Posted 7 days ago
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