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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within..
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..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the..
RN**3,000 SIGN-ON BONUS- 3-day work week, Day or Evening shifts, full-time, Providence (Full Time) Location: Providence,RI **3,000 SIGN-ON BONUS We are looking for a Registered Nurse to work full-time on..
RN - $3,000 SIGN-ON BONUS - ASU- 3-day work week! (Full Time) Location: Providence,RI We hire new graduates! Flexible schedule and 3-day work week offered now for a Psychiatric RN..
Psychiatric RN (Per Diem) ASU (Per Diem) Location: Providence,RI RN's needed to staff our 16 bed Acute Stabilization Unit in Providence, RI. We are seeking an empathetic, caring and energetic..
Home Health & Hospice Care of Nursing Placement is the right career path for you. Family-owned and operated since 1976, with offices in Pawtucket, Cranston, Jamestown, Westerly, and Woonsocket. We..
Now hiring CNA'S, LPN'S & RN'S for facility staffing, All shift available! 7-3, 3-11, 11-7 COVID POSITIVE FACILITY Perks of the job: Sick and Vacation Pay Weekly Pay (Direct Deposit)..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward..
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..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
RN - ***3,000 SIGN- ON BONUS- Crisis Center -3 day work week (Full Time) Location: East Providence, RI **3,000 SIGN-ON BONUS We are looking for motivated and enthusiastic RN’s who..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Newport Rhode Island Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners..
