GLOBALHEALTH HOLDINGS LLC

Manager, Appeals and Grievance (51944)

GLOBALHEALTH HOLDINGS LLC · Full Time · 12 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Provide clinical leadership and oversight for the Appeals and Grievance process to ensure regulatory compliance and timeliness. Manage staff resources, handle member escalations, and perform Quality of Care reviews.

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Manager, Appeals and Grievance (51944)

GLOBALHEALTH HOLDINGS LLC · Full Time · 12 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Provide clinical leadership and oversight for the Appeals and Grievance process to ensure regulatory compliance and timeliness. Manage team resources, handle member escalations, and perform quality of care reviews.

APPLY

Case Manager RN (51479)

GLOBALHEALTH HOLDINGS LLC · Full Time · 20 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Perform telephonic case management for high-risk members to improve long-term wellness through care coordination and advocacy. Responsibilities include conducting assessments, educating caregivers, and collaborating with providers to ensure holistic health outcomes.

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Manager, Utilization Management (51741)

GLOBALHEALTH HOLDINGS LLC · Full Time · 20 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Responsible for the operational oversight of the Utilization Management department, including tracking data and developing policies. The role involves managing supervisory staff and collaborating with internal teams and external providers to improve member care.

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Health Services Coordinator (51680)

GLOBALHEALTH HOLDINGS LLC · Full Time · a month ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Provides administrative support for utilization review, health education, and care management. Responsibilities include data entry, coordinating services for members, and communicating with providers and vendors.

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Health Services Coordinator (51680)

GLOBALHEALTH HOLDINGS LLC · Full Time · a month ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Provides administrative support for utilization review, health education, and care management. Responsibilities include data entry, coordinating services for members, and communicating with providers and vendors.

APPLY