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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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Job ID 21000KRGAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
PrimeCare Medical of West Virginia, Inc. has an exciting LPN opening in our medical department at the Southern Regional Jail in Beaver, WV.u00a0nWe are actively hiring for a Full Time Evening ..
***$5,000 Sign on Bonus being offered to external candidates*** Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our neighborhood medical ..
... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... manager(s), other members of the..
PrimeCare Medical of West Virginia has an exciting PRN LPN opportunity to work in our medical department at the Gene Spadero Juvenile Center in Mount Hope, WV.u00a0u00a0nCorrectional nursing provides a challenging ..
Job Information Centerwell Social Worker, Home Health in Beckley West Virginia The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in compliance with Medicare regulations. Coordinates communication ... policies and procedures to ensure..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Job Code 2164114 ***$5,000 Sign on Bonus offered for external candidates*** Careers with MedExpress. A t MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients expectations. ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
TRS Healthcare is seeking an experienced Telemetry ... 20 weeks Pay: $3451.68/Week TRS Healthcare is seeking a Registered Nurse ... Life Support certification About TRS Healthcare: TRS Healthcare is a..
Job ID 21000KCDAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Beckley West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Job Information Kindred at Home Care Manager RN Home Health, Full Time in Beckley West Virginia As a Home Health RN Care Manager , you will: Perform or delegate the initial ..
TRS Healthcare is seeking an experienced Medical ... 12 weeks Pay: $6359.54/Week TRS Healthcare is seeking a Registered Nurse ... Life Support certification About TRS Healthcare: TRS Healthcare is a..
Job Information Humana Quality Improvement Coordinator in Beckley West Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..
