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Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances & Appeals works within ... and analytical approach. Responsibilities The Supervisor, Grievances & Appeals..
Requires BSN, knowledge of community health care & nutrition resources, knowledge of prevention & identification of infectious disease & child development. Full time, full year with benefits. $43,160.00 per year...
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
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 ..
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..
6K Retention Bonus for Full time! Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. ..
Genesis HealthCare is a leading provider of ... is a leading provider of healthcare services from short-term to long-term ... complaints to charge nurse and/or supervisor. *Fill water pitchers to..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Charleston West Virginia Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job Information Genesis Healthcare Center Human Resource Manager in ... bargaining agreements, if applicable. Genesis HealthCare is a leading provider of ... is a leading provider of healthcare services from..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
3K Retention Bonus! Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We ..
Those with an out of state license are encouraged to apply! Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living ..
... a leading provider of post-acute healthcare services from short-term to long-term ... values and policies of Genesis HealthCare and in accordance with accepted ... through the delivery of high-quality..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..