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Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Care Team Medical Director in Portland Maine Description ... Maine Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana UM Medical Director - Conviva in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
... Healthcare is seeking an experienced Medical Surgical Registered Nurse for an ... Pay: $1456.08/Week Registered Nurse - Medical Surgical - Travel - (MS ... & Requirements Registered Nurse -..
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..
**Providence is calling a Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) to Providence Office Park Portland in Portland, OR** **Shift: 40 hours per week. Will need to ..
Bring your marketing savvy to Genesis as a Hospital Liaison. In this role, you will establish a strong business presence and relationships with hospitals - physicians within an assigned geographic area, ..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
... patients, including patients with complex medical and psychosocial issues. The LCSW ... core member of multiple patient-centered medical home teams led by the ... cope with the impact of..
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 ..
... Registered Nurse (RN) with Fresenius Medical Care, you will be part ... that sets us apart.At Fresenius Medical Care, you will truly make ... and documents in the patient..
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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
... Stars and Risk Adjustment National Medical Director in Portland Maine Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
... and documents in the patient medical record, makes adjustments or modifications ... as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician ... approved algorithm(s), and documents appropriate..
Description The Medical Records Retrieval Representative works with ... retrieval methods to retrieve member medical records that will be submitted ... other government agencies. Responsibilities The Medical Records Retrieval Representative..
... Communicate all emergencies to supervisor, medical and operations director Instruct patients ... with patients, families, physicians, and hospital staff members.Benefits All Medical provides professional liability and workers ... coverage..
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..
... Care Technician (PCT) at Fresenius Medical Care, you play a vital ... that sets us apart.At Fresenius Medical Care, you will truly make ... patient care experience in a..
