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Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and..
Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntCitizenship: Citizen..
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities such as the annual Quality Improvement..
Experienced PMHNP needed for full time in Cincinnati, OH. Monday-Friday workweek. 140k or more salary range with benefits! 23-bed Inpatient geriatric hospital needs a PMHNP for full time work. Onsite..
430 Cross Road S. Blvd,Cold Spring,Kentucky,41076-2341,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make..
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...
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,..
Description Humana Healthy Horizons in Ohio is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional..
PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to..
POSITION FEATURES:This is a full time RN for our surgery center in Moraine, OH.The center is open Monday through Friday 7:30am to 4:00pm. No eveings, weekends or Call.You will need..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward..
Job Description WFH anywhere from US EST This is a full-time telework role. Schedule is Monday-Friday, standard business hours, with weekend coverage required, as needed. The Team Lead is accountable..
Telemetry assignments in Akron, OH, 13 weeks, 12 hr days and night available, - 2 years recent Tele experience -Neuro/Trauma experience preferred - OH becomes compact state as of January..
u003cbu003e More than a career - a chance to make a difference in people's lives. u003c/bu003eu003cbru003eu003cbru003eBuild an exciting, rewarding career with us - help us make a difference for millions..