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..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
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 ..
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 ..
... with all legal, compliance, and regulatory requirements and programs. Takes the ... schedules and goals. Program or project responsibility generally within the Home ... effort among members of a..
Job Information Humana Senior Project Manager -- Remote in San Antonio ... Antonio Texas Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
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 ..
... 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..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana UM Medical Director - Conviva in San Antonio Texas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... 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..
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 ..
