Healthcare Sourcing Specialist Jobs in Kannapolis

Job Information Kindred at Home RN Admissions Home Health Full Time in Greenville North Carolina The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved ..

... ongoing updates on Company’s home healthcare service, specialty and/or product offerings ... to support diagnosis and home healthcare orders. Provides input to care ... location clinical staff (e.g. Intake..

Job Information Centerwell RN Admissions Home Health Full Time in Kannapolis North Carolina The Clinical Assessment Advisor - Baylor directly completes and oversees development/ of the plan of treatment as approved ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Job Information Humana Home Health LPN/LVN in Charlotte North Carolina Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal services; supporting ..

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 ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Centerwell Director Clinical Ops & Services Home Health in Charlotte North Carolina As a Clinical Operations and Services Director, Home Health ; you will: Direct sales/marketing activities within an ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

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 ..

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Centerwell Home Health Admissions RN in Charlotte North Carolina The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ongoing ..

Job Information Centerwell Medical Records Specialist Home Health Full Time in Charlotte North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records ..

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 ..

Job Information Centerwell RN Admissions Home Health Full Time in Charlotte North Carolina The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Job Information Centerwell Medical Records Specialist in Greenville North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Prepare patient assessment ..

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 ..