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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 the ..
Job Information Humana Senior Clinical Recruiter in Anchorage Alaska Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
**Providence is calling a Clinical Nurse Specialist Advanced - ED (Ak Nursing Prof Support, Days, 1.0 FTE) to Providence Alaska Medical Center in Anchorage, Alaska. We are a community of caregivers ..
Overview This position provides supervision and support of clinical operations, staff, and patients. Manages finances and personnel to ensure appropriate allocation of resources in providing quality patient care. Relocation, Commitment Bonus ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Anchorage Alaska Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Overview Assesses, plans, implements, evaluates, and documents nursing care of patients in a non-acute environment. Provides care in accordance with organizational policies, and in accordance with standards of professional nursing practice, ..
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 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 ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Anchorage Alaska Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
About this job Find your commute JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position ..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
COMPENSATION AND BENEFITS Nurse Practitioner (NP) nnnt$195,000 for Providers with 10 Years or More of FNP Experiencent$145,600 for Providers with a minimum of 2 Years of NP Experiencent$20,000 - $30,000 Sign-On ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Anchorage Alaska Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
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. Responsibilities ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Anchorage Alaska Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Anchorage Alaska Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
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 and facilitate ..
**Providence is calling a Registered Nurse (RN) Clinical Manager (5 North Medical Oncology, Day-Shift, 1.0 FTE, 40 Hours per week) to Providence Alaska Medical Center in Anchorage, Alaska. We are a ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..