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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 ..
... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving FMS quality ... driving FMS quality standards through education regarding all ESRD regulatory and ... applicable clinical and..
... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical Manager ensuring compliance with applicable regulations, ... and effective matter. With Clinical..
... (PST) that drives national provider education strategy and operations along with ... physician and healthcare provider plans, education, reporting and materials are accurate ... across the enterprise to support..
Job Information Humana Billing & Reconciliation Representative 2-Remote in US in Portsmouth New Hampshire Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... ensure physician and healthcare provider education, reporting and materials are accurate ... across the enterprise to support regional and corporate strategic initiatives. Responsibilities ... with key corporate stakeholders and..
Job Information Humana Business Development, VP in Portsmouth New Hampshire Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
Equality, Diversity and Inclusion Administrator Durham University Location: Durham Salary: £20,092 to £22,254 per annum Hours: Full Time Contract Type: Fixed-Term/Contract Placed On: 17th March 2022 Closes: 31st March 2022 Job ..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
Job Information Humana Regional Pharmacy Sales, VP in Portsmouth ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... and excellent customer service. The Regional Pharmacy Sales,..
Save job Refer friends Job description Commute time A s a Home Health LPN , you will: Provide professional nursing services under the direction of a RN in compliance with the ..
... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... to patient's physician and Clinical..
Assistant Sales Trainee Manager - Seacoast, NH - ( ... Sherwin-Williams’ team. Our Trainee Assistant Manager Program is designed to provide ... professional sales. The Trainee Assistant Manager Program includes..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... or branch for quality assessment, education and clinical training, and process ... medication misadventure prevention by providing..
Job Information Humana Channel Development Lead - Sales Enablement in Portsmouth New Hampshire Description The Channel Development Lead defines the sales product strategy for single or multiple lines of business targeting ..
