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42

Project Manager Care Team Quality And Compliance Jobs in Newport





Job info
 
Company
**********
Location
Newport, RI
Posted Date
Apr 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by .....

 
Company
Location
Newport, RI
Posted Date
Aug 27, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan..

 
Company
**********
Location
Newport, RI
Posted Date
Nov 18, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Newport ... Island Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... is responsible for the administration..

 
Company
**********
Location
New Bedford, MA
Posted Date
Nov 06, 2022
Info Source
Employer  - Full-Time  90  

... employees worldwide, the Group designs and provides game-changing solutions that are ... solutions that are both useful and practical for water, waste and energy management. Through its three .....

 
Company
Location
Newport, RI
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

... Director relies on medical background and reviews health claims. The Medical ... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of..

 
Company
**********
Location
East Providence, RI
Posted Date
Oct 25, 2022
Info Source
Employer  - Full-Time  90  

... employees worldwide, the Group designs and provides game-changing solutions that are ... solutions that are both useful and practical for water, waste and energy management. Through its three .....

 
Company
**********
Location
Newport, RI
Posted Date
Aug 25, 2023
Info Source
Employer  - Full-Time  90  

... Island Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's ... Provider Data..

 
Company
**********
Location
Newport, RI
Posted Date
Jul 29, 2022
Info Source
Employer  - Full-Time  90  

... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..

 
Company
**********
Location
Newport, RI
Posted Date
May 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Project Manager manages all aspects of a ... manages all aspects of a project, from start to finish, so ... it is completed on time and within budget...

 
Company
**********
Location
Newport, RI
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

... given service or level of care. The Medical Director's work assignments ... that rely on clinical experience and knowledge of both medicine and social determinants of health. Responsibilities .....

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... Director relies on medical background and reviews health claims. The Medical ... to Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. ... to integrate the day-to-day administration..

 
Company
**********
Location
Newport, RI
Posted Date
Feb 11, 2022
Info Source
Employer  - Full-Time  90  

... Medical Director - National Medicare Team in Newport Rhode Island Description ... Director relies on medical background and reviews preauthorization requests for services. ... Medical Director provides medical interpretation..

 
Company
Location
Newport, RI
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests ... issues regarding technical approach for project components, and work is..

 
Company
**********
Location
Newport, RI
Posted Date
Nov 05, 2022
Info Source
Employer  - Full-Time  90  

... employees worldwide, the Group designs and provides game-changing solutions that are ... solutions that are both useful and practical for water, waste and energy management. Through its three .....

 
Company
**********
Location
Newport, RI
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

... Director relies on medical background and reviews health claims. The Medical ... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of..

 
Company
**********
Location
Newport, RI
Posted Date
Jun 11, 2022
Info Source
Employer  - Full-Time  90  

... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..

 
Company
**********
Location
Newport, RI
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

... Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical ... to Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. ... to integrate the..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Newport Rhode ... an effective strategy for executing and delivering on IT business initiatives ... IT business initiatives specific to..

 
Company
Location
Newport, RI
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

... Director relies on medical background and reviews health claims. The Medical ... Medical Director provides medical interpretation and decisions about the appropriateness of ... by other healthcare professionals in..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

... makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that ... that members receive clinically appropriate and medically necessary services. All work .....

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..

 
Company
Location
Newport, RI
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

... Director relies on medical background and reviews health claims. The Medical ... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of..

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