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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..
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Job ID 21000HYWAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy..
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..
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Visiting Angels of Matawan $16/hour Job Requirements Must be Licensed CHHA..
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..
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..
Immediately hiring! $100 Sign on Bonus $250 COVID-19 Vaccination Bonus for qualified applicants! Are you a dedicated caregiver looking for a flexible schedule? Affirmed Home Care is hiring Certified Home..
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..
HIRING LPNS FOR LONG TERM CARE NURSING. ALL SHIFTS AVAILABLE. FACILITIES LOCATED IN MORRIS COUNTY, ESSEX COUNTY, WARREN COUNTY, MIDDLESEX COUNTY, SUSSEX COUNTY WEEKY PAY*** FULLTIME HOURS AVAILABLE agency staffing!!..
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,..
Homewatch CareGivers of Woodbridge is a high quality growing agency dedicated to improving our client lives each day through meaningful connections. . Caregivers are the heart of our business. We..
Job Information Humana Actuary, Risk and Compliance in Jersey City New Jersey Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on..
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..
HIRING CNAS FOR LONG TERM CARE NURSING. ALL SHIFTS AVAILABLE. FACILITY LOCATED IN MORRIS COUNTY NJ. WEEKY PAY*** FULLTIME HOURS AVAILABLE agency staffing!! Apply today! We are in search of..
Job Information Humana Senior Accreditation Professional in Jersey City New Jersey Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related..
