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Description The Utilization Management Nurse 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 are ..
Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses ... members. The Behavioral Health Care Coordinator’s work assignments are varied and ... Description The Behavioral Health Care Coordinator..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
... related to profitability. Assist with network development and provider contracting with ... years of management experience within Healthcare A current and unrestricted physician ... their home. We are a..
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 ..
As a TeamHealth post-acute care physician, you will provide oversight, guidance, and mentorship to our clinicians within the greater Richmond, Virginia, area. In this role you will conduct clinical case reviews ..
As a TeamHealth post-acute care physician, you will provide oversight, guidance, and mentorship to our clinicians within inpatient rehabilitation clinical environment. You will conduct clinical case reviews, as needed and share ..
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 ..
... with Field Operations to address network inadequacy, and document barriers to ... with leaders for collaboration with network & non-network partners. Coordinate and track outcome ... Electronic Questionnaire for..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Glen Allen Virginia Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
As a TeamHealth post-acute medical director, you will provide oversight, guidance, and mentorship to our clinicians within the greater Richmond, Virginia, area. In this role, you will conduct clinical case reviews ..
