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Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Shifts in Marietta, Smyrna, Dallas, Canton, Kennesaw, Woodstock About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help loved ones of ..
Assistant Professor (Physiology and Cardiovascular Science) MED047722 University of Nottingham - Education Centre Location: Nottingham Salary: £40,927 to £50,296 per annum (pro-rata if applicable) depending on skills and experience. Salary progression ..
Job Code 2173496 Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make ..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Atlanta Polsinelli has one of the largest health care practices in the U.S. with 23 offices and is currently seeking a health care litigation associate to join our national health care ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Clinical Associate Professor in Gastroenterology or Nutrition University of Nottingham - Nottingham Digestive Diseases Centre Location: Nottingham Salary: £84,559 to £114,003 per annum (pro-rata if applicable) depending on skills and experience. ..
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 ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
The Emory University School of Medicine, Department of Gynecology and Obstetrics, is recruiting a full-time Epidemiologist/Health Services Researcher. The position will hold a rank of Assistant Professor, Associate Professor or Professor, ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Clinical Associate Professor - Lead for Foundations for Practice (Clinical Phase) (Fixed term, Part time) MED051522 University of Nottingham - Education Centre Location: Nottingham Salary: £84,559 to £114,003 per annum pro-rata ..
Airport Concessions Manager Airport Concessions Manager - Compliance General Description and Classification Standards Manages tenant contractual obligations and operational aspects of concession tenants. This is an experienced managerial level charged with ..
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 fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and development programs including new employee ..
Job Description & Requirements Dentist StartDate: ASAP Available Shifts: Day 8 Pay Rate: $87.00 - 99.00 This facility is seeking a Dentist for locum tenens support as they look to fill ..
Research Associate/Fellow or Senior Research Fellow in Developing Models of Cardiac Electrophysiology University of Nottingham - Mathematical Sciences Location: Nottingham Salary: Please refer to advert Hours: Full Time Contract Type: Fixed-Term/Contract ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..