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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 ..
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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 the ..
Job Information Humana Senior Clinical Recruiter in Albany New York Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, ..
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 ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Kindred at Home Care Transition Liaison, Home Health Full Time in Ballston Spa New York The Care Transition Liaison manages an assigned, limited number of key facility and/or physician ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Humana VP, Clinical Operations in Albany New York Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ..
Job Information Centerwell Registered Nurse Home Health PRN in Ballston Spa New York As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..
Job Information Kindred at Home Registered Nurse, Home Health Full Time in Ballston Spa New York As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Albany New York Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
Job Information Centerwell RN Case Manager, Home Health Full Time in Ballston Spa New York As a Home Health RN Case Manager , you will: Provide admission, case management, and follow-up ..
Job Information Humana Stars Improvement Clinical Professional (LPN or RN) - Remote NY or NJ in Albany New York Description The Stars Improvement Clinical Professional is responsible for the development, implementation ..
Job Summary: Under the supervision of attending physician(s) and in accordance with New York State laws, the Nurse Practitioner will provide cardiac care for a mid-size cardiology practice in Rockland County, ..
... Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT ... Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses on clinical and ... Senior Stars Improvement, Clinical Professional..
... Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, ... Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses on clinical and ... Senior Stars Improvement, Clinical Professional..
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 ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Title: Clinical QA Analyst Duration: 12 months Location: Albany, NY - Will be remote for now, due to COVID As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ..
The Center for Disability Services offers hope, innovation, and achievement to the people we support. For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and ..
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 for Humana's Kentucky Medicaid Plan. The Utilization ..
Title: Clinical QA Analyst Location: Albany, NY will be Remote for now, due to COVID Duration: ASAP through 12/31/2022 As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ..
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 ..