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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 - EOA# 21-158R Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, Scientific, and ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Medical Records Retrieval Representative works with regional providers in Downstate NY to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted to ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
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 ..
Contact Agency Addiction Services and Supports, Office of Title Nurse 2 Psychiatric or Nurse 1 (Creedmoor ATC) Occupational Category Health Care, Human/Social Services Salary Grade 16 Bargaining Unit PS&T - Professional, ..
The Senior Medical Assistant, under the direction of the physician and RN, takes vital signs, assists with data collection, provides direct care and assists with tasks as directed. This position coordinates ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Bridgeport Connecticut Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 - EOA# 22-028R Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, Scientific, and ..
Description The Risk Adjustment Representative 3 works with regional provider offices to ensure timely submission of requested medical records that are submitted to the Centers for Medicare and Medicaid Services (CMS) ..
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 ..
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 ..
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 ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Job Information Humana FP&A Lead, Medicaid Market in Bridgeport Connecticut Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 Hab Spec 2 EOA # 22-050 Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - ..
Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 - EOA# 21-108R Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, Scientific, and ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
