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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 ..
OverviewnSouthern Regional Medical Center is a community based, awarding winning, 331-bed acute care hospital providing a wide range of services, including 24-hour Emergency Department, Advanced Imaging, Heart and Vascular, Women's Health, ..
ResponsibilitiesnStaff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
UPMC Lakeview Urologic Surgeons are currently hiring a Medical Assistant II to join their team! This position will work Monday through Friday, 8 a.m. to 4 : 30 p.m. Purpose : ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Atlanta Georgia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
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 ..
The Healthcare Compliance Audit Manager position will ... knowledge in many facets of healthcare compliance (manufacturing, receipt, distribution, warehousing, ... for evaluating internal controls over Healthcare processes within our logistic..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... that a robust physician performance improvement program (including OPPE/FPPE and Quality ... (including OPPE/FPPE and Quality Assurance/Performance Improvement (QA/PI)) and Morbidity and Mortality ... medical records and support documentation..
... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... and Quality Assessment and Performance..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Industrial Prevention Specialist, Exercise Science, Kinesiology – ProgressiveHealth Aviation Services, LLC – Atlanta, GA Hiring ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... by analyzing needs and implementing improvement methodologies and education. Assures implementation ... on strategic planning for ongoing improvement and development on CMS (e.g., ... health Collaborates with Governing Body/Performance..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Atlanta Georgia Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
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, ..
... Certified Diabetes Care and Education Specialist-Remote-US in Atlanta Georgia Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
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 ..
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 Information Humana FP&A Lead, Medicaid Market in Atlanta Georgia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Kindred at Home Vice President, Clinical Programs - Remote position in Atlanta Georgia VP, Clinical Programs directs the research, development and evaluation of clinical standards, quality assessment, regulatory compliance, ..