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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs..
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..
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..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
Medical Assistant-CSP-IHH (Full Time) Location: Woonsocket, RI We have an immediate opening for a Medical Assistant to work in our Community Support Program. We seek a friendly, organized, motivated team..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates,..
Psychiatric Prescriber (MD/PCNS)- Crisis Center East Providence (Full Time) Location: East Providence, RI Community Care Alliance and Horizon Health Partners has a new Behavioral Health Link Program that is a..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
ACADEMIC COORDINATOR / INSTRUCTOR (Full Time) Location: Woonsocket, RI EDUCATION AND SKILLS REQUIRED: · Bachelor’s degree in education, human services or related field preferred. · Experience working with diverse populations..
Job Information Humana Actuary, Risk and Compliance in Newport Rhode Island Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special..
Home Health & Hospice Care of Nursing Placement is the right career path for you. Family-owned and operated since 1976, with offices in Pawtucket, Cranston, Jamestown, Westerly, and Woonsocket. We..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The..
Now hiring CNA'S, LPN'S & RN'S for facility staffing, All shift available! 7-3, 3-11, 11-7 COVID POSITIVE FACILITY Perks of the job: Sick and Vacation Pay Weekly Pay (Direct Deposit)..
Mobile Outreach Community Liaison (Full Time) Location: Woonsocket, RI Community Care Alliance is looking for a full time outreach community liaison to work in its new program through the State..
Team Leader - Tanguay Supervised Apartment Program (Full Time) Location: Woonsocket, RI Tanguay, one of our residential treatment programs is searching for a Team Leader to coordinate program activities, provide..
Job Information Humana Senior Accreditation Professional in Newport Rhode Island Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to..
Psychiatric RN (Per Diem) ASU (Per Diem) Location: Providence,RI RN's needed to staff our 16 bed Acute Stabilization Unit in Providence, RI. We are seeking an empathetic, caring and energetic..
Master’s Level Clinician, 3 Day Work Week - BH Link (Full Time) Location: East Providence, RI BH Link is looking for a highly motivated individual to join our team as..
RN - ***3,000 SIGN- ON BONUS- Crisis Center -3 day work week (Full Time) Location: East Providence, RI **3,000 SIGN-ON BONUS We are looking for motivated and enthusiastic RN’s who..
RN - $3,000 SIGN-ON BONUS - ASU- 3-day work week! (Full Time) Location: Providence,RI We hire new graduates! Flexible schedule and 3-day work week offered now for a Psychiatric RN..
Adult Community Case Manager (Full Time) Location: Woonsocket, RI Case Manager-General Outpatient Program (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking to add a motivated, task oriented, enthusiastic..