Healthcare Credentialing Jobs in Nevada

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

... Senior Compliance Professional (Network & Credentialing) in Las Vegas Nevada Description ... compliance program for Network and Credentialing for Commercial line of business ... regulatory guidance for Network and..

Job Information Humana Credentialing Assistant 3/Government Business - Work ... Las Vegas Nevada Description The Credentialing Assistant 3 obtains and reviews ... in a health plan. The Credentialing Assistant 3..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

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 ..

PURPOSE AND SCOPE:Directs, administers and controls the day to day operations and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and regulatory guidelines and ..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

Pediatric OphthalmologistnLocation: Las Vegas, NVnMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility u2013 work when, ... access to your personal MPLT Healthcare..

Healthcare Attorney The candidate will be managing a litigation caseload from beginning to end, communicating with clients and providing timely reporting, appearing at depositions and various court appearances and working closely ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Las Vegas Nevada ... Nevada Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education ..

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures.  Areas of practice ..

Posted: 01-Jun-23 Location: Las Vegas, NV, USA Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Nurse Practitioner Internal Number: 218140479 Physician Assistant US-NV-Las Vegas Job ID: 2022-37083 Type: Practitioner ..

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

POSITION SUMMARY: The Registered Nurse (RN) is an experienced registered professional nurse who initiates and coordinates the care plan, provides skilled and palliative care and coordinates the services provided to his/her ..

Job Information Humana Credentialing Professional - Work At Home ... Las Vegas Nevada Description The Credentialing Professional obtains and reviews documentation ... in a health plan. The Credentialing Professional work..

n nn n  POSITION SUMMARY: The Registered Nurse (RN) Runner is an experienced registered professional nurse who is designated to provide coordination of care, ensure continuous assessment of each patient's and ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Salary: Open Categories: Physicians/Surgeons Internal Number: 40493 A DHMG-NV Internal Medicine Residency Core Faculty Location Facility: Dignity Health Medical Group - Nevada  Address: Las Vegas NV 89117 Opportunity Criteria Specialty: Academic ..

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 Credentialing Professional in Las Vegas Nevada ... Las Vegas Nevada Description The Credentialing Professional obtains and reviews documentation ... in a health plan. The Credentialing Professional work..