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Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
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 ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... the analysis of situations or data requires an in-depth evaluation of ... architectural strategy Understand and analyze data pipelines, algorithms, and automated systems. ... relationships Obtain and synthesize complex..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. The Care Coach..
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 ..
... List One of the largest healthcare systems in the U.S. Ranked ... coordinate efficient, effective, and quality healthcare. Communicate effectively and maintains therapeutic ... neuvoo consent to process my..
... Manager of Fraud and Abuse Data Analytics in Glen Allen Virginia ... Manager of Fraud and Abuse Data Analytics will be responsible for ... Qualifications 5 plus years of..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine assignments. The ACD Referral..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..
Job ID 21000IRLAvailable Openings 1Position Specific Information West End location on Santa Rosa Rd - Richmond, VA Dialysis experience is required CCHT is required Train and mentor new hire PCTs in ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Referrals Coordinator 2 processes referrals from Civilian ... from Civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
Job Information Humana Care Coach 1 in Glen Allen Virginia Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an ..
... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..
