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The Outpatient Support Specialist (OSS) responds to all the clerical needs of the Child and Adolescent Ambulatory Services . Duties include word processing/typing, managing telephone and other correspondence, filing, ordering/stock supplies, ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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. The Utilization Management Nurse 2 work assignments ..
Job ID 21000LY6Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
13 wks- 3/12's- rotating hours- ARRT(CT) (ME) We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or in desirable locations throughout ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Portland Maine Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Accountable Healthcare is seeking experienced local or travel RNs for Correctional Nursing positions in Maine!! 12 hour DAY shift available! Give us a call today at 844-573-1028 ! Acute care exp ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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13 wls- 3/12's- nights- NBRC- ME license- BLS, ACLS We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or in desirable ..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
Job ID 21000M6VAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description Job Description Summary 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 ..
... retrospective reviews for inpatient and outpatient services to ensure that members ... from inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy ... grievance and appeals processes, and..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Portland Maine Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
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 ..
Predominantly outpatient Cardiology position at a small community hospital located on the picturesque seacoast. Applicants should be Board Certified or completing fellowship and be comfortable with TEE, Stress Tests and working ..