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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 ..
CNA, Home Health Aide (HHA), Caregiver –Homecare – Fall River, MA Shifts: Varies depending on client needs MAS Medical Staffing is currently seeking qualified Care Givers/Home Health Aides for great opportunities ..
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 ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Now hiring CNA'S, LPN'S & RN'S for facility staffing, All shift available! 7-3, 3-11, 11-7 COVID POSITIVE FACILITY Perks of the job: Sick and Vacation Pay Weekly Pay (Direct Deposit) PAID ..
Home Health & Hospice Care of Nursing Placement is the right career path for you. Family-owned and operated since 1976, with offices in Pawtucket, Cranston, Jamestown, Westerly, and Woonsocket. We pride ..
Master’s Level Clinician, 3 Day Work Week - BH Link (Full Time) Location: East Providence, RI BH Link is looking for a highly motivated individual to join our team as a ..
RN - $3,000 SIGN-ON BONUS - ASU- 3-day work week! (Full Time) Location: Providence,RI We hire new graduates! Flexible schedule and 3-day work week offered now for a Psychiatric RN at ..
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 ..
RN - ***3,000 SIGN- ON BONUS- Crisis Center -3 day work week (Full Time) Location: East Providence, RI **3,000 SIGN-ON BONUS We are looking for motivated and enthusiastic RN’s who enjoy ..
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 ..
Psychiatric Prescriber (MD/PCNS)- Crisis Center East Providence (Full Time) Location: East Providence, RI Community Care Alliance and Horizon Health Partners has a new Behavioral Health Link Program that is a 24/7 ..
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 ..
Psychiatric RN (Per Diem) ASU (Per Diem) Location: Providence,RI RN's needed to staff our 16 bed Acute Stabilization Unit in Providence, RI. We are seeking an empathetic, caring and energetic RN's ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Immediate NEEDS! CALL TODAY! Caregiver Home Health Aide / HHA / CNA Do you have a passion to help others? Abbott Senior Care is looking for Certified HHAs, CNAs, Homemakers and ..
Job Information Humana Senior Accreditation Professional in Newport Rhode Island Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
Job Information Humana Actuary, Risk and Compliance in Newport Rhode Island Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
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 Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..