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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... with FMCNA policies, procedures, and training and in compliance with regulations ... with clinical orientation and on-going training of all appropriate direct patient ... preceptor in direct patient care..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
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 Information Kindred at Home Physical Therapist Assistant, Home Health Full Time in Charleston West Virginia As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment ..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
... physician founded, nationally accredited correctional healthcare practice. nPCM provides comprehensive medical, ... accordance with NCCHC/ACA and accepted healthcare standards.Developing and conducting in-service education ... as assigned by PCM Medical..
... procedures. Position HighlightsReport to the Director of NursingDevelop education programs in ... immunizations for all employees.Why Genesis?Genesis HealthCare is a leading provider of ... is a leading provider of..
... through the delivery of high-quality healthcare and everyday compassion!We Care Deeply ... provide career ladders, education and training opportunities so you can build ... 7 years' experience in the..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
... Join Genesis as a Unit Manager/Director - RN where within an ... unit you will support the Director of Nursing with the delivery ... values and policies of Genesis..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Associate Director, Full Stack Engineering Performs software ... at the front-end. The Associate Director, Full Stack Engineering requires a ... for one of the leading healthcare organizations. Reporting..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. This position will work and collaborate with ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Genesis a leading provider of healthcare services from short-term to long-term ... clinical team as an Assistant Director of Nursing. You will support ... Nursing. You will support the Director..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..