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Veterinarian Hospital Medical Leader','United States-Delaware-MIDDLETOWN-659 Middletown Warwick Rd (3777)','659 ... purpose of the Hospital Medical Leader position is to lead the ... assure strict compliance of state practice act requirements..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
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 ..
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 ..
... team members. As the global leader in dialysis healthcare, we form bonds that enable ... physician orders and state nurse practice laws. Perform and document pre, ... information and..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Dover Delaware Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
POSITION FEATURES: *No Sundays, e/o Saturday, limited late shifts (outpatient only) *Tuition reimbursement *Clinical Advancement Program (CAP)- gain knowledge/increase pay *Growth opportunity including geographic movement and niche disciplines *Full benefits package ..
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 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 ..
... in Dover Delaware 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 Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
... focused on top of license practice and collaboration.Communicate a shared vision ... realization of high-quality and cost-effective healthcare.Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis..
... in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) ... clinical industry representative. As a leader, this role leads HQRI's Provider ... guidance to ensure physician and..
BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsDiverse, ..
... Humana Lead Product Manager - Healthcare API in Dover Delaware Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
... 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..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... your career with TeamHealth's full-time practice opportunity for an internal medicine ... an internal medicine or family practice physician to join our inpatient ... perfect our clinicians' ability to..
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 Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..