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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 ..
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 ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Rated a top workplace, come join Senior Lifestyle - Hawthorne Gardens Senior Living - Portland, OR! We're actively hiring: Caregivers CMTs Positions available in: Portland What we offer: Flexible Schedules Health, ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana Senior Accreditation Professional in Vancouver Washington Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
CLT at Home : We offer In-Home personal and companion care for clients at their home or at their favorite community in the greater Vancouver WA. area to include Clark and ..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..
Portland In-Home is looking for highly motivated and dependable caregivers to join our team! If you're looking for a positive work environment, working with like-minded people who want to make a ..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
Job Information Humana Actuary, Risk and Compliance in Vancouver Washington Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
