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Job Information Humana Care Team Medical Director in Portland Maine Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
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 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 ..
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 ..
Job Information Humana Medical Director - National Medicare Team in Portland Maine Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
ED RN contract need in the Portland area. Local Contract and Travel Registered Nurse positions available. All shifts available with ASAP start! 36 hours gauranteed and opportunities for overtime. We offer ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Portland Maine Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... 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..
The Providence Provider Resource Department (PRD) is seeking a full-time physician assistant or nurse practitioner to provide coverage for all Immediate Care clinics in the Portland, Oregon service area. This is ..
... 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..
**Providence is calling a Patient Care Techs to work in Emergency Services at Providence Portland Medical Center.** ****This posting is for various shifts and schedules (Days, Nights, Part Time or Full ..
Job Information Humana Medical Director - Florida Medicaid in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Texas in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
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..
... 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..
