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... decisions about the appropriateness of services provided by other healthcare professionals ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
... and reviews preauthorization requests for services. The Medical Director work assignments ... medical interpretation and determinations whether services provided by other healthcare professionals ... medical interpretation and determinations whether..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Dover Delaware Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Description Care Management Analytics is looking for an Associate Director of Data Science to lead a team of data scientists who building machine learning models and run advanced analyses to drive ..
... to make determinations whether requested services, requested level of care, and/or ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
Description The Director, Workforce Management applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Dover Delaware Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..
POSITION FEATURES:*12 weeks of PAID training, no experience required*Competitive pay*Pay increase when certified (required within 18 months)*No Sundays, e/o Saturday*Tuition reimbursementDescriptionProvide your personal attention and kindness, professional insight, and a generosity ..
... of both physical and digital services and solutions who are knowledgeable ... guests at the checklanes, guest services, gift registry, pick-up and drive ... and processes Address store needs..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... and/or home health or post-acute..
Bayhealth Medical Center, a non-for-profit health system spanning Central and Southern Delaware seeks an exceptional BE/BC Psychiatrist to join our employed Physician group. Residents are encouraged to apply. The candidate will ..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Dover Delaware ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
21 Cornwell Dr,Bridgeton,New Jersey,08302-3632,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in ..