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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..
... 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..
... 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,..
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 ..
Job ID 21000MG8Available Openings 1 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 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..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job ID 21000MGAAvailable 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 ..
... an immediate opportunity for Admissions Coordinator The Admissions Coordinator serves as the point of ... the needs of patient, collecting data and assigning Clinical Liaison for ... processes and..
Job ID 21000JP6Available 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 requirements. ..
... Manager of Fraud and Abuse Data Analytics in Pittsburgh Pennsylvania Description ... Manager of Fraud and Abuse Data Analytics will be responsible for ... Qualifications 5 plus years of..
Job ID 21000LM1Available Openings 1 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 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..
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 ..
... you! Become a Recreation Activities Coordinator at Corporate Fitness Works and ... Qualifications Apply Now class= input--dark-grey data-parsley-pattern=/^[a-z0-9- ]*$/i data-parsley-pattern-message=Only A-Z, 0-9, - and space ... Legal First Name..
... 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..
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 UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... information and gathering resources and data in..
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 ..
