THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
... Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided under the Exceptional ... and authorizations. Coordinate and approve services for ABA Therapy. Review outcome measures to ensure..
Description The Senior Pharmacy Sales Executive leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana Pharmacy for fulfillment. The Senior Pharmacy Sales Executive ..
... directing the organizations medically necessary services that are referred to the ... the community for Behavioral Health Services. DUTIES • Conducts routinely scheduled ... – behavioral health and/or core..
Description The Clinical Pharmacy Lead 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, and/or ..
... you will: Administer the physical therapy treatment plan as developed by ... coordinates and contributes to department in-services. Notify physical therapist or Executive ... Experience/Skills: Associate degree in Physical..
Colorado Springs Psychiatry OpportunitynFlexibility for Inpatient, Outpatient, or TelepsychiatrynJoin an organization rooted in championing the diverse experiences each stakeholder brings to their mental health journey.u00a0The areau2019s largest and most trusted team ..
... providing safe and effective dialysis therapy for patients under the direct ... forth in the FMS Clinical Services Clinical Training Manual(s), FMS policies ... Monitor patients’ response to dialysis..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job ID 21000I3SAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... This role assists in coordinating services and researching necessary resources to ... care, wait lists, coordination of..
... expertise within the realm of Healthcare Quality operations and improvement methodology, ... a subject matter expert in healthcare quality measurement, best practices, and ... Assurance (NCQA), the Agency for..
Description The Staff Clinical Pharmacist manages the formulary processes for the Clinical Formulary Administration team for the Medicaid LOB. The Staff Clinical Pharmacist work assignments involve moderately complex to complex issues ..
Description The Care Management Support Assistant 2 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 ..
... Educator, Preceptor or a Home Therapy CAP RN 2, 3, 4 ... of dialysis data for Home Therapy patients and documents in the ... effective delivery of chronic dialysis..