Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care …

Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS …

Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We’re currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS …

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Provides telephone, clerical, and data entry support for …

This posting is for District 29 (Henderson County) located in the Western Region of the State of North Carolina. Job duties for this position require driving a state vehicle. A valid driver’s license must be obtained by date of hire. What are the duties of a Juvenile Court Counselor? Juvenile Court Counselors provide case management services, counseling and supervision of adjudicated or delinquent juveniles to ensure compliance with court ordered dispositions. NEW STEP PAY PLAN! Juvenile Court Counselors enjoy annual …

Do you want to spend your summer doing meaningful work and making an impact on the lives of others? Apply to be a YouthWorks  Summer Staff! For 30 years, YouthWorks has helped Christian college students like you gain mission experience and develop their skills by hiring them to facilitate Christ-centered mission trips for teenagers. It’s not easy but the work is meaningful. God uses it to make a lasting impact in communities across the US and change the lives of teenagers. Because …

Do you want to spend your summer doing meaningful work and making an impact on the lives of others? Apply to be a YouthWorks  Summer Staff! For 30 years, YouthWorks has helped Christian college students like you gain mission experience and develop their skills by hiring them to facilitate Christ-centered mission trips for teenagers. It’s not easy but the work is meaningful. God uses it to make a lasting impact in communities across the US and change the lives of teenagers. Because …

Do you want to spend your summer doing meaningful work and making an impact on the lives of others? Apply to be a YouthWorks  Summer Staff! For 30 years, YouthWorks has helped Christian young adults like you gain mission experience and develop their skills by hiring them to facilitate Christ-centered mission trips for teenagers. It’s not easy but the work is meaningful. God uses it to make a lasting impact in communities across the US and change the lives of teenagers. Because …

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Completes comprehensive assessments of members …