Healthcare Credentialing Jobs in Rhode Island

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

Job Information Humana Manager, Credentialing in Newport Rhode Island Description ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

Peer Recovery Specialists IHH (Full Time) Location: Woonsocket, RI P OSITION SUMMARY: To provide a bridge between providers and adults with serious mental illness. Peer Specialists will assist in facilitating the ..

Intensive Care Coordinator CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide case management, care coordination and treatment to children and youth who are at risk ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Newport Rhode Island ... Island Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Peer Parent Consultant CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care Position Overview: As a Parent Peer Consultant, you will play a pivotal role in providing guidance, empathy, and ..

Credentialing Specialist / HR Assistant (Full ... SUMMARY: Coordinate, administer and maintain credentialing process for all eligible staff. ... at least 3 years of credentialing and office experience in a..

Team Leader CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide clinical leadership for a multi-disciplinary/agency team that works with high-risk children, adolescents and transition aged ..

Clinician Child, Youth and Family Co-Occurring CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: Provides individual, group, and family behavioral health services, both mental health and substance ..

Peer Parent Consultant (Full Time) Location: Woonsocket, RI Position Overview: As a Parent Peer Consultant, you will play a pivotal role in providing guidance, empathy, and practical assistance to parents who ..

Crisis Clinician/ Intake Specialist (Full Time) Location: Woonsocket, RI Position Summary: Exciting opportunity to become a member of our dynamic behavioral health emergency services team. As a member of this team, ..

Clinician Co-Occurring CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: • Provides individual, group, and family behavioral health services, both mental health and substance use, for children ..

Intensive Care Coordinator (Full Time) Location: Woonsocket, RI POSITION SUMMARY: · Provide case management, care coordination and treatment to children and youth who are at risk of hospitalization or out of ..

BH Link Masters Level Clinician (Per Diem) (Per Diem) Location: East Providence, RI The BH Link is searching for enthusiastic clinicians and counselors who are looking to make a positive impact ..

Psych Rehab Worker CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide support to children and youth who are at risk of hospitalization to develop the ..

RN Team Lead (Full Time) Location: East Providence, RI The BH Link is searching for enthusiastic clinicians and counselors who are looking to make a positive impact in the Rhode Island ..

Job Description The Credentialing Coordinator is responsible for initial ... Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and ... Commission accreditation, NCQA and URAC credentialing..

HR Assistant/Credentialing Specialist (Full Time) Location: Woonsocket, ... SUMMARY: Coordinate, administer and maintain credentialing process for all eligible staff. ... at least 3 years of credentialing and office experience in..

OVERNIGHT Registered Nurse 3-4 Day Work Week Full Time (Full Time) Location: East Providence, RI The BH Link is searching for enthusiastic clinicians and counselors who are looking to make a ..

RN Complex Care (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Coordinate and facilitate access to medical care for IHH clients experiencing complex acute and chronic illnesses. Eligible clients continue to need ..

Psych Rehab Specialist ACT (Full Time) Location: Woonsocket, RI POSITION SUMMARY: The PSRS's role within the multidisciplinary team is to provide psychosocial rehabilitation services to psychiatrically disabled adults and their families, ..

ACT Psych Rehab Specialist (Full Time) Location: Woonsocket, RI POSITION SUMMARY: The PSRS's role within the multidisciplinary team is to provide psychosocial rehabilitation services to psychiatrically disabled adults and their families, ..