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Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance..
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..
Job Code 2164177I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will..
The Center for Disability Services offers hope, innovation and achievement to the people we support.u00A0For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who 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,..
The Center for Disability Services offers hope, innovation, and achievement to the people we support. For 80 years, we have been one of upstate New Yorku2019s largest providers of programs..
The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and..
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 for Humana's Kentucky Medicaid Plan. The..
We are offering a Sign On Bonus for this position!u00a0nProfessional Care Medical Practices PC (Professional Careu201d) is a private, physician founded, nationally accredited correctional health care practice.nProfessional Care provides comprehensive..
Contact Agency Mental Health, Office of Title Rehabilitation Counselor 2, Central New York Psychiatric Center – Coxsackie Mental Health Unit, P23993 Occupational Category Health Care, Human/Social Services Salary Grade 19..
Job Summary: Under the supervision of attending physician(s) and in accordance with New York State laws, the Nurse Practitioner will provide cardiac care for a mid-size cardiology practice in Rockland..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
LPNThe Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New York’s largest providers of programs and..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
Start Date: 4/3/23 DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our..
Join the gold standard in concierge aesthetics! If you have a passion for helping others feel confident and are interested in supplementing your income, this is the role for you!..
