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... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. The Care Coach..
Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Sign On Bonuses for RN's and LPN's! Full Time: $10,000 Part Time: $5,000 Put your licensed practical nursing skills to a different use as a MDS Coordinator at Genesis! We are ..
Job Information Humana Telephonic Care Coach Professional 1 -WAH Nationwide in Montpelier Vermont Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
... POSITION SUMMARY: The Clinical Reimbursement Coordinator (RN) manages the overall process ... information with the External Care Coordinator or Admissions Coordinator to estimate RUG levels for ... Communicates to..
Job Information Humana Care Coach 1 in Montpelier Vermont Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..
... Based financial analysis Experience in data management, data extraction, and data reporting Comprehensive knowledge of MS ... SQL to pull and review data elements Extensive knowledge of multiple .....
... in Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... learning and adjustment. Uses assessment data about the student and his/her ... assessing their degree of Integrates data from assessment procedures and develops ... learning and achievement and provides..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... in Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
... Manager of Fraud and Abuse Data Analytics in Montpelier Vermont Description ... Manager of Fraud and Abuse Data Analytics will be responsible for ... Qualifications 5 plus years of..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health, data analysis, data mining concepts and identifying health ... Public Health Administration,..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... the analysis of situations or data requires an in-depth evaluation of ... architectural strategy Understand and analyze data pipelines, algorithms, and automated systems. ... relationships Obtain and synthesize complex..
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 ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..