THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
RN Quality Management Coordinator','Full-time','Nursing - RN','Full Time','Full Time','80','80','Occasional','Occasional','TEXAS-HOUSTON-ST LUKES MEDICAL CENTER','','!*!Catholic Health Initiatives St. Luke's Health is a health system located in the Greater Houston area. It is a part of ..
Clinical Quality Specialist (M-F, Days) Full Time','Full-time','Professional Non-Clinical','M-F, Days','M-F, Days','80','80','Occasional','Occasional','TEXAS-THE WOODLANDS-ST LUKE WOODLANDS','','!*!The Woodlands Hospital A primary and secondary care hospital serving North Harris and Montgomery counties. Clinical services include cardiovascular ..
RN Quality Management Coord - Quality (Days) FT','Full-time','RN','FT','FT','80','80','Occasional','Occasional','TEXAS-SUGAR LAND-ST LUKE SUGAR LAND','','!*!CHI St. Luke’s Sugar Land is an acute care hospital offering medical and surgical services to the Fort Bend community. ..
... and terms. Maintains contracts and documentation within a tracking system. May ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... in the..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... including the design, development, testing,..
Job Information Humana Senior EAP On-Site Consultant (Part-Time) - Dallas, TX in Dallas Texas Description The EAP On-Site Consultant at a key financial industry account provides assessment, referral, and short-term counseling ..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
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 ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Description The Clinical Documentation Specialist (CDS) follows state and ... and medical records. The Clinical Documentation Specialist conducts medication reviews of ... against clinical diagnoses. The Clinical Documentation Specialist communicates..
Job Information Humana Supervisor, Medical Coding in San Antonio Texas Description The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... business, process and user needs,..
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 ..
... with operational areas to prepare documentation and files for presentation to ... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural..
... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC documentation, coding and provider education experience. ... result in improved accuracy of..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
