6 jobs found in monroe

At Vantage Health Plan , we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Vantage Health Plan is currently looking for a Medical Management Inpatient RN.*remote opportunity - must live in LA,MS, AR* Job Summary: The Medical Management Inpatient RN is directly involved within the Medical Management (Utilization Review) program of Vantage Health Plan and assures the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost effective and timely manner. The Medical Management IP Nurse is an intricate part of this program by utilizing Vantage’s authorization system to review and approve services based upon Standardized Criteria, Health Plan Medical Policy and Clinical Guidelines and the local delivery systems. Each...

The Producer Services Group Specialist is responsible for assisting producers with Commercial, Exchange and Medicare products. Additional duties include quoting Small and Large Commercial groups, processing commercial group paperwork, and communicating with employers and producers regarding their commercial groups, as well as all other producer related administrative tasks. Job Requirements: • Receive phone calls for the Producer Services department from both internal and external sources, answering calls by the third ring • Answer producer inquiries regarding Vantage plans and producers’ membership • Process Small (less than 50 total employees) and Large group (51+ employees) quotes • Communicate Small and Large group renewal rates and benefits to VHP departments, assigned producers and group representatives • Gather data, create, and maintain Vnet modules and databases with prospective group quoting information, commission updates and group renewal...

At Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Vantage is currently looking for a Medical Management Inpatient RN to work at our downtown Monroe location from 8:00AM – 5:00PM, Monday through Friday.  Job Summary: The Medical Management Inpatient RN is directly involved within the Medical Management (Utilization Review) program of Vantage Health Plan and assures the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost effective and timely manner. The Medical Management IP Nurse is an intricate part of this program by utilizing Vantage’s authorization system to review and approve services based upon Standardized Criteria, Health Plan Medical Policy and Clinical Guidelines and...

The Producer Services Group Specialist is responsible for assisting producers with Commercial, Exchange and Medicare products. Additional duties include quoting Small and Large Commercial groups, processing commercial group paperwork, and communicating with employers and producers regarding their commercial groups, as well as all other producer related administrative tasks. Job Requirements: • Receive phone calls for the Producer Services department from both internal and external sources, answering calls by the third ring • Answer producer inquiries regarding Vantage plans and producers’ membership • Process Small (less than 50 total employees) and Large group (51+ employees) quotes • Communicate Small and Large group renewal rates and benefits to VHP departments, assigned producers and group representatives • Gather data, create, and maintain Vnet modules and databases with prospective group quoting information, commission updates and group renewal...

At Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Vantage is currently looking for a Medical Management Inpatient RN to work at our downtown Monroe location from 8:00AM – 5:00PM, Monday through Friday.  Job Summary: The Medical Management Inpatient RN is directly involved within the Medical Management (Utilization Review) program of Vantage Health Plan and assures the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost effective and timely manner. The Medical Management IP Nurse is an intricate part of this program by utilizing Vantage’s authorization system to review and approve services based upon Standardized Criteria, Health Plan Medical Policy and Clinical Guidelines and...

At Vantage Health Plan, we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Job Summary: The Medical Management Outpatient LPN provides administrative support throughout Vantage’s authorization process. This includes entering Member Organization Determination authorizations and other specific types of authorizations, answering claims and other department questions on authorizations, answering phone calls to Medical Management, performing call-backs for approvals and providing other types of clinical and non-clinical support to the Medical Management Department. Essential Duties & Responsibilities: • Performs initial intake, review, and notification of decisions for Member Organization Determination authorizations • Work daily claim reports (QERs, QAUs,...