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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 The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..
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 ..
PrimeCare Medical is looking for au00a0Registeredu00a0Nurse (RN)u00a0to work as theu00a0Health Service Administratoru00a0in the medical department at the Washington County Jail located in Washington PA. In this role the HSA is the ..
Job Information Humana Director, Informatics in Pittsburgh Pennsylvania Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
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 ..
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 ..
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 ..
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 ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Pittsburgh Pennsylvania Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
POSITION FEATURES:The program will cover the Acute Dialysis Program at Washington Hospital2021 America's 'Most Loved Workplaces' by NewsweekNo prior healthcare experience required, on the job paid training to become nationally certified, ..
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 ..
Job ID 21000MG8Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Pittsburgh Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
We have an immediate opportunity for Nurse Supervisors. 7p-7:30a, 3 days per week General Summary: The Nursing Supervisor assists in the organization, development, management and administration of nursing service activities. Assists ..
Job Description Position Summary Are you a skilled Pharmacy Technician looking to advance your career? Looking to change into a closed-door pharmacy setting and gain new skillsets? Join our Omnicare closed-door ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
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 ..
OverviewMake Lives Better Including Your Own.Relationships and integrity are the heart of our culture. They help us create a welcoming and inclusive community among our residents, associates and patients that feels ..
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 21000JP6Available Openings 1PURPOSE 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. ..
Job Information Humana Supervisor, Credentialing in Pittsburgh Pennsylvania Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..