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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Do you want to impact patient lives by joining a successful healthcare company? If so, please contact us today to discuss this opportunity! Interim Practice Manager (with the potential to be ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Business Management: Coordinates and works with the Insurance Billing/Follow Up personnel and department to insure ..
PURPOSE 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. Ensure provision of quality ..
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 ..
Job ID 21000MOIAvailable Openings 1 PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, ..
Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one The Social Worker for the Senior Resources Agency will assist the Senior Center Director in ..
AccentCare is looking for passionate clinicians committed to delivering exceptional care in the home.We are committed to quality patient outcomes—delivering evidence-based care in the home—and providing comprehensive training to further develop ..
Now offering a $2,000 sign on bonusPURPOSE AND SCOPE: Responsible for assisting Medical Lab Scientist and Technicians in processing and testing clinical and environmental samples. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general ..
Facility Coding Supervisor - ONSITE (Hybrid) - Katy Area Full-Time Monday - Friday; 8am - 5pm Requirements needed: Min. 2 years of supervisory experience. 3 years of certified coding (Facility) 2 ..
About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Ridgeland Mississippi Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job Information Humana Director, Informatics in Ridgeland Mississippi Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
