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We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the ..
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 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
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 Strategy Advisor, Healthcare Strategy in Springfield Missouri Description ... Missouri Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
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 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 ..
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 ..
... Physician nLocation: Marshfield, MOn nMPLT Healthcare is looking for a physician ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT..
... in clinical nutrition resulting in credentialing by authorized body.Experience: Required: 5 ... body.Experience: Required: 5 years of Healthcare experience in clinical dietetics and/or ... with State of Practice License...
Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... 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,..
... Bridges, Restore Implants, Cosmetic Dentistry. Credentialing Time Frame: 1-2 days Job ... Company Staff Care, an AMN Healthcare company, is the nation's leader ... specialties with a variety of..
nPosition: GastroenterologistnLocation: Springfield, MOn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare..
