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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 ..
Are you caring, compassionate, and willing to help seniors in our community?? Right At Home is looking to hire a caregiver for 4 daylight shifts & h evening shifts 7 days ..
Job ID 21000IPYAvailable 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. ..
Job Information Humana Senior Accreditation Professional in Pittsburgh Pennsylvania Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
Are you caring, compassionate, and willing to help seniors in our community?? Right At Home is looking to hire a caregiver for daylight shifts & evening shifts 7 days a week. ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana Actuary, Risk and Compliance in Pittsburgh Pennsylvania Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
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 Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
If you have kids and can't work during the day, or if you're just looking for non-traditional hours, Liken HealthCare Staffing/Liken Home Care is looking for DCW's and CNA's for private ..