THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... Compliance Program, including following all regulatory and Organization policy requirements. Provides ... the direction of the Facility Manager, Director of Nursing and/or Charge ... organization quality standards through meeting..
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 ..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
... Compliance Program, including following all regulatory and FMS policy requirements. The ... of Clinical Educators, Regional MSW Manager, facility master social work and ... Licensure required EXPERIENCE AND SKILLS:..
PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student ..
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 ..
... Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides ... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing ... FVC quality standards through meeting..
... provider experience, as well as project manage the market rollout end-to-end. ... Medicaid markets Create and manage project plans to ensure effective and ... and timelines for provider services..
... activities such as patient admission, regulatory reporting, billing, physician orders, lab ... treatment related data into systems.Ensures regulatory, compliance, and audit activities are ... nursing experience.3+ years’ supervisory or..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Humana Senior Project Manager -- Remote in Metairie Louisiana ... Metairie Louisiana Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Description The Provider Relations Manager - Behavioral Health (BH) oversees, leads, and supports a team of associates that grow positive, long-term relationships with contracted BH providers in order to facilitate a ..
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 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 ..
