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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 ..
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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 Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Aberdeen South Dakota Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
South Dakota Hospital Seeking PediatricianA physician-centered hospital in southeastern South Dakota is seeking a Pediatrician to take over for an existing patient panel due to an upcoming retirement. Come be a ..
Excellent base salary is being offered by this group seeking an Internal Medicine physician. Full spectrum of outpatient internal medicine services. Great work life balance is this safe community. Located on ..
... 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..
8 wk- 5/8's- SD license- 80% OP- 15% long term care- 5% inpatient- 1 yrs exp- SD license We can help you achieve your career goals by connecting you to our ..
Join the region's largest and strongest health care network to provide full spectrum Family Medicine services including Obstetrics. Provide care in an outpatient clinic setting with opportunities to do procedures in ..
FQHC in southwestern Minnesota is seeking an Internal Medicine physician for an adult medicine opportunity. You will join a successful, well established group with three other physicians in an outpatient practice. ..
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 ..
Board Certified/Board Eligible Family Medicine physician is needed in southwest Minnesota, just one hour from Sioux Falls, and a respectable scenic drive to Minneapolis. The multi-specialty clinic is part of a ..
CompHealth has positions that offer a variety of compensation packages and benefits that can be discussed with your consultant to best fit your needs. CompHealth is a national leader in healthcare ..
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 ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Aberdeen South Dakota Description The Medical Coding Auditor reviews medical claims submitted against medical records ..
Sioux Falls boast abundant outdoor options. Great place to raise a family. The area has top notch schools, no state income tax, has true 4 seasons and if you enjoy biking ..
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 ..
Come live and work where the nation vacations! Highly lucrative opportunity to join seven other Family Physicians and 2 Advanced Practice Providers in a popular system-owned primary care. This is an ..
South Dakota Hospital Seeking Primary Care PhysicianA physician-centered hospital in southeastern South Dakota is seeking a Primary Care physician to take over for an existing patient panel due to an upcoming ..
A 100% outpatient Neurologist is needed by this first-rate system in western South Dakota. Located in the Black Hills, this family friendly community is just minutes from numerous outdoor activities and ..
South Dakota Hospital Seeking Family Medicine PhysiciannA physician-centered hospital in southeastern South Dakota is seeking a Family Medicine physician to take over for an existing patient panel due to an upcoming ..
Our client is seeking an OBGYN for their well-established practice in this turnkey opportunity. Enjoy this safe, family-friendly community featuring a gorgeous lake, excellent shopping options, an accredited university, and numerous ..
Opportunity to provide all-encompassing Family Medicine to a diverse population in a rural Iowa community. Join one of two established, busy Primary Care practices. Experienced staff, both clinical and non-clinical who ..