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... and policies, and approves services or forwards requests as needed. The ... Fridays Required Qualifications Degree in Nursing Possess a current, valid, and ... years of practice experience 1..
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... you answered YES to one or more of the above you ... current coding certifications with AAPC or AHIMA. Prior medical coding experience ... AHIMA. Prior medical coding experience..
... needs and requirements to achieve and/or maintain optimal wellness state by ... every 6 months; complete PSI or SIPA as indicated; notify & ... required by ACD policy; administer..
... where the analysis of situations or data requires an in-depth evaluation ... coach assigned providers, providers groups and/or MSO groups on gap closing ... through in-person, virtual, telephone, email..
... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... Telephonically assess Medicare, Medicaid, Commercial,..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... with no disciplinary action 3 or more years of clinical experience ... a team performing auditing, quality..
... Knowledge of HEDIS/Stars/CMS/Quality Previous quality or process improvement experience in a ... improvement experience in a hospital or physician office practice Strong business ... in a pre-recorded Voice Interview..
... Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US ... in Riverton Wyoming Description The Certified Diabetic Care and Education Specialist ... (CDCES) delivers comprehensive and seamless..
... remote anywhere in the US or in Louisville, KY! We are ... provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed .....
... Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in ... needs and requirements to achieve and/or maintain optimal wellness state Guide ... Required Qualifications Associates degree in..
... The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from ... NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana ... that provides Humana members with..
... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. The ... monitoring patient care through assessments..
... in care, eligibility for assistance and/or need for care management program ... need for care management program or other referral services in collaboration ... Social Determinants of Health needs..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. Apply ... on identified needs and recommend..
Job Description & RequirementsRegistered Nurse u2013 Perioperative Nurse - Operating Room - (OR RN)StartDate: 03/14/2022Available Shifts: 10 D Pay Rate: $1905.62 - 2100.07Required QualificationsBLS, ACLSPreferred QualificationsTravelJob BenefitsAt American Mobile Healthcare we ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and ... and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed guidelines ... approach. Responsibilities The Supervisor, Compliance Nursing ensures..
