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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Job ID 21000FMNAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
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 ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Hospitalist needed for day or night shifts in Martinsburg, WV to start as soon as credentialed. n n nBC IM / FP nShift Schedule: 7 on 7 off preferred but not ..
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 ..
The Ambulatory Care Nurse Manger is a working clinical manager with direct patient care responsibilities. He/she may be expected to perform the major duties/functions of Primary Care and Specialty Clinic registered ..
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 ..
... but have fun. GLC On-The-GO: Healthcare Staffing Solutions When it comes ... it comes to choosing a healthcare staffing partner to help manage ... us one of the premier..
Nurse Practitioner: Flexible Schedule and Excellent Source for Supplemental Income!u00a0nPerform Health Risk Assessments (HRAs)on patients in their homes.nNurse Practitioners with 1 year experiencenNurse Practitioners conduct comprehensive in-home health risk assessment to ..
Let your personal CompHealth recruiter know what is important to you in a locum tenens opportunity so that we can match you with your just-right job. BC or BE required Days ..
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 ..
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Whether you are looking for a new opportunity or a way to supplement your income, CompHealth can help you find an assignment to meet your needs.Willing to wait for licenseBC requiredWeekdays, ..
PURPOSE 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 requirements. Ensure provision of quality patient ..
Position: HospitalistnLocation: Kingwood, WVn nMPLT Healthcare is looking for a physician ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare..
