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... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. The Care Coach..
Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in Sandwich Massachusetts $25,000 sign-on Bonus Available Position located in Sandwich, MA The Clinical Manager coordinates and oversees all ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Job Information Centerwell RN Clinical Manager Home Health $25,000 Sign On Bonus in Sandwich Massachusetts $25,000 Sign-On Bonus Available The Clinical Manager coordinates and oversees all direct care patient services provided ..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..
... Based financial analysis Experience in data management, data extraction, and data reporting Comprehensive knowledge of MS ... SQL to pull and review data elements Extensive knowledge of multiple .....
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
POSITION FEATURES:* Location: Falls River/New BedfordThis position is an ON-CALL ONLY Acute Dialysis RN position covering our New Bedford program*Guarantee: Overnight pay guaranteed; plus hourly rate if called out*Training is day ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job ID 21000MQCAvailable Openings 1Position Specific Information Monday - Saturday 4am - 8:30pm EST / TTHS 5pm EST 4days / 10-13 hours shift PURPOSE AND SCOPE: The registered professional nurse (CAP ..
... Manager of Fraud and Abuse Data Analytics in Newport Rhode Island ... Manager of Fraud and Abuse Data Analytics will be responsible for ... Qualifications 5 plus years of..
Job Information Humana Telephonic Care Coach Professional 1 -WAH Nationwide in Newport Rhode Island Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to ..
... the analysis of situations or data requires an in-depth evaluation of ... architectural strategy Understand and analyze data pipelines, algorithms, and automated systems. ... relationships Obtain and synthesize complex..
... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health, data analysis, data mining concepts and identifying health ... Public Health Administration,..
... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..
Job Information Humana Care Coach 1 in Newport Rhode Island Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine assignments. The ACD Referral..