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Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... by other healthcare professionals in..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve ..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
... Control (including Employee Health), and* Clinical PCC implementation. Key to this ... on units to: 2.2.1 Review clinical issues and monitor/observe to identify ... and monitor/observe to identify care..
... of living options and professional clinical services. We are changing how ... nursing care while achieving positive clinical outcomes, and patient/family and employee ... NursingLead, guide and direct the..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered ..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... works with the Chief Medical..
... Time: $5,000 POSITION SUMMARY: The Clinical Reimbursement Coordinator (RN) manages the ... through the capture of appropriate clinical information. Identifies opportunities to enhance ... Trains backup personnel for the..
... and value, while also managing compliance with network requirements, including network ... alignment to financial, operational and clinical goals Participate and contribute to ... proactively identify network issues, ensure..