Apex Health Solutions Jobs

Job Description: Summary The Appeals and Grievance Nurse is responsible for investigating and processing medical necessity and benefit coverage appeal and grievance requests from members and...

Job Description: Summary The Appeals and Grievances intake coordinator position is focused on the processing of incoming customer and provider Medicare and Commercial appeals and grievances. This...

Job Description: Summary The UM Nurse is responsible for conducting the utilization review (UR) of healthcare services for health plans and their insured members. This clinician conducts...

Job Description: Summary Responsible for providing care management services and support to improve health outcomes via a coordinated approach. The Care Manager works in collaboration and continuous...