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Risk Compliance Coordinator The candidate will guide and promote all aspects for the analysis communication implementation and risk mitigation Under the supervision of the Compliance Officer and Director of Risk Management ..
Payer Compliance Policy Analyst The candidate will facilitates identification of payer policy changes that will impact the Affiliates and coordinate a complete analysis of the policy including but not limited to ..
rnSummary:rnRef #: 27982rnProfession: Registered NursernSpecialty: Medical SurgicalrnJob Type: Contract/TravelrnStart Date: ASAPrnLocation: Berlin, VTrnShift Schedule: 8 hrs per day; 5:30 AM - 2:00 PMrnWeekend Requirements: As NeededrnShift Type: DaysrnRate: $2,323/40-hoursrnrnrnRequirements: rn1 Year ..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
... Stars and Risk Adjustment National Medical Director in Montpelier Vermont Description ... in Montpelier Vermont Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. This role relies on..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... functions to implement formulary and medical strategies for the Medicaid line ... The Senior Professional collaborates with..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... whether services provided by other healthcare..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
... is calling. Join a leading medical center which values its medical staff, places a high value ... $6,000 CME stipend and comprehensive healthcare insurance. As the Medical Director for..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
... DescriptionnRegistered Nurse(RN) / Travel / Medical-SurgicalnRegistered Nurse Medical-SurgicalnType: Registered Nurse (RN) nBerlin, VTnMAS ... Registered Nurse (RN) nBerlin, VTnMAS Medical Staffing is currently seeking a(n) ... (RN) professional with..
We are seeking a BE/BC ENT Family Medicine Physician to join our team. 20 provider multi-specialty practice in two locations with, Family Medicine, Internal Medicine and Geriatrics. Staffed currently with 9 ..
GE Healthcare is a leading global medical technology and digital solutions innovator. Our Digital organization is structured around three major areas: Products & Platform, Go to Market and Centers of Excellence. ..