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Description The Senior Stars Improvement, Clinical Professional is responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars program. The Senior Stars Improvement, Clinical Professional work assignments involve ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Transplant Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. The ... wellbeing of members. The Transplant Care Manager, Telephonic..
RN - Weekend - Intake Care Coordinator - Work from home ... full-time opening for an RN Care Coordinator to join our dynamic ... our dynamic team. The RN Care..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eu003c/pu003enu003cpu003eThe Clinical Supervisor (RN) will oversee a team of 20 to 30 remote Medical Review Nurseu0026nbsp; Analysts (NA) that complete Targeted Probe and Educate (TPE) work for our Medicare ..
Job Information Humana Manager, Utilization Management Nursing - North Central Region (Work at Home) in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ..
... regulations and about specific Home Care needs. Collects data about patient’s ... with Agency staff in planning care for clients with exceptional needs. ... for internal/external customers regarding Home..
RN - Care Coordinator - Work from home ... full-time opening for an RN Care Coordinator to join our dynamic ... our dynamic team. The RN Care Coordinator role includes..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Care Management Support Assistant 2 contributes to administration of ... 2 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care..
At Talem, we are a non-medical home care agency, dedicated to helping our clients live the healthiest lives possible. We are looking for a teammate that has the passion to help ..
RN Intake Care Coordinator (Hospice) - Work from ... opening for an RN Intake Care Coordinator to join our dynamic ... dynamic team. The RN Intake Care Coordinator role includes..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
... whose purpose is to provide care management program support resources to ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior Primary..
Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Green Bay Wisconsin Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..