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... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
Psychiatric Nurse Practioner (PMHMP), Behavioral Health Unit, Full and part-time available (Full Time) Location: Providence,RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption ..
Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..
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 ..
Care Coordination Specialist – 3-4 Day Work Week ... role of the Care Coordination Specialist will be to provide a ... visiting the program, to provide support to the clinical..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... Job Description Summary Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The..
Peer Recovery Specialist BH Link (Per Diem) (Per ... program is hiring a Peer Specialist to provide support and assistance to clients of ... They also will provide phone support,..
BH Link Driver (Full Time) Location: East Providence, RI The BH Link is searching for enthusiastic professionals who are looking to make a positive impact in the Rhode Island community! The ..
BH Link Peer Recovery Specialist (Full Time) Location: East Providence, ... program is hiring a Peer Specialist to work full-time to provide ... to work full-time to provide support and..
Description Job Description Summary 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 ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Care Coordination Specialist (Part Time) Location: East Providence, ... role of the Care Coordination Specialist will be to provide a ... visiting the program, to provide support to the clinical..
... is looking for an experienced Healthcare Investigator to join its industry ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... areas Bachelor's degree or significant..
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 ..
BH Link Peer Recovery Specialist (Per Diem) (Per Diem) Location: ... program is hiring a Peer Specialist to provide support and assistance to clients of ... They also will provide..
RN, Behavioral Health, 4-Day work Week, $43-Hour *Sign-On Bonus* (Full Time) Location: Providence,RI If you are looking for a change, we have a job for you! We are looking for a ..
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 ..