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Job Information Humana Care Team Medical Director in Newport Rhode Island Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description As a Physician Informaticist at Humana, you will ... functionally with other departments. The Physician Informaticist coordinates with other analytics, ... work meets clinical standards. The Physician informatacist works..
nEmergency Medicine Provider Locum- Brockton, Taunton, Dorchester, , Fall River, Brighton ,Methuen and Haverhill, MAn nLocation: Brockton, Taunton, Dorchester, Methuen and Haverhill, Fall River, Brighton , MAnSchedule: Varying Shifts available at ..
BH Link Masters Level Clinician (Per Diem) (Per Diem) Location: East Providence, RI The BH Link is searching for enthusiastic clinicians and counselors who are looking to make a positive impact ..
Job Information Humana Medical Director - Texas in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Medical Director - National Medicare Team in Newport Rhode Island Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Job Information Humana Medical Director - Florida Medicaid in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... as MCG® or InterQual Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists Advanced degree such..
... speak with contracted external physicians, physician groups, facilities, or community groups ... upon request of the attending physician Participates in HCO MD Inter-Rater ... Development forum (TAF) Collaborates with..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Newport Rhode Island Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
Behavioral Health Worker 2nd Shift (Full Time) Location: Providence,RI If you are interested in gaining experience in the behavioral health field, we have the perfect position for you! Our Acute Stabilization ..
... experience and knowledge of both medicine and social determinants of health. ... speak with contracted external physicians, physician groups, facilities, or community groups ... as MCG® or InterQual Internal..
