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Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Associate Director, Provider Contracting requires ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Specialty: RN Case ManagementJob Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity ..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnPhysician Assistant Basic ..
Job Information Humana Home Health Registered Nurse in Liverpool New York Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
910 Erie Boulevard East,Syracuse,New York,13210,United States of America DaVita is seeking a Clinical Coordinator who is looking to give life in an outpatient dialysis center. You can make an exceptional difference ..
Job Information Centerwell RN Branch Director in Fulton New York The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, ..
Job Information Humana Manager, Fraud and Waste-Remote US in Syracuse New York Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Telephonic Behavioral Health Care Manager in Syracuse New York Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time in Liverpool New York The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Centerwell Full Time Home Health RN - $10k Sign on Bonus in Liverpool New York As a Home Health Registered Nurse , you will: Provide admission, case management, and ..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
