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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 ..
... Strategy Pharmacist - Work At Home in Vancouver Washington Description Responsibilities ... appropriate state Must have Board Certification Clinical experience in managed care ... Preferred Qualifications Board Certified Pharmacotherapy..
... Health is calling an Event Specialist PS&D. This position can sit ... searching for an experienced Events Specialist to join our team. Our ... In this role, the Events..
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 ..
... Waste Investigator - Work At Home (Anywhere in the US) in ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
**$8,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment.** Performs imaging examinations according to physicians' orders, utilizing a variety of sophisticated imaging equipment, taking into ..
... American Board of Medical Specialty certification is psychiatry Preferred Qualifications Experience ... and/or special projects. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
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 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 ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Vancouver Washington Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
**House Supervisor RN - Nursing Admin at Providence Portland Medical Center - 0.6 FTE (Part Time), Night Shifts** The Hospital Supervisor coordinates the general operation of the Department of Nursing and ..
... and Waste Investigator-- REMOTE/WORK AT HOME in Vancouver Washington Description Humana ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
Job Information Kindred at Home Occupational Therapist Home Health PRN in Vancouver Washington ... in Vancouver Washington As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant..
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 ..
Job Information Kindred at Home Medical Records Specialist Home Health Full Time in Portland ... function of the Medical Records Specialist is to provide clerical support ... patient assessment packets,..
... degree Current and ongoing board certification in an approved ABMS Medical ... Lead Medical Director Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work..
Job Information Humana Medicare Appeals and Grievance Medical Director in Vancouver Washington Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Information Kindred at Home Occupational Therapist Home Health Full Time in Portland ... in Portland Oregon As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant..
Job Information Kindred at Home Home Health Admissions RN in Portland ... and other licensed clinicians and home health aides to ensure optimal ... At least 2 years clinical home..
**Peer Support Specialist - Providence Portland Medical Center** ... Sat: 10:00am-2pm)** The Peer Support Specialist will be an essential part ... Outpatient Program. The peer support specialist may work remotely..