Claims Analyst – Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...
@OrchardClaims Analyst - Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...
@Orchardrequired. Master’s degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review... and/or assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience...
CenteneAnalyst - Case Management (CM) plays a key role in ensuring our case management program meets high-quality standards.... This Analyst is responsible for monitoring staff performance, identifying opportunities for improvement, and ensuring we comply...
EXL Servicefor themselves. JOB SUMMARY The Quality Analyst RN is accountable to support quality, patient safety, peer review and patient experience... and be able to work within teams of employees and physicians to improve clinical outcomes. The Quality Analyst RN...
Sweetwater Memorial Hospitalon others! Saddle Rock Legal Group is seeking a skilled full- or part-time RN Case Management Analyst to help build strong cases... RN Case Management Analyst! ABOUT US We are a cutting-edge law firm, that utilizes a business-like entrepreneurial...
Saddle Rock Legal GroupJob Description: Quality Outcomes Analyst MBH Administrative Costs-Tau Center Baton Rouge, La The Quality... Outcomes Analyst is responsible primarily for reviewing data, including charts and databases to identify operational...
Franciscan Missionaries of Our Lady Health SystemJob Description: JOB SUMMARY The Clinical Quality Analyst plays an integral role in the review process... customer requested due date. In addition to the duties of the Quality Analyst, the Clinical Quality Analyst...
Sane StreetJOB SUMMARY The Clinical Quality Analyst plays an integral role in the review process as they are responsible... date. In addition to the duties of the Quality Analyst, the Clinical Quality Analyst is also responsible for ensuring that the...
Dane Street, LLCClinical Quality Analyst is responsible for the collection, improvement, reporting, and accuracy of data collected for publicly... Analyst must be self-motivated and able to prioritize a variety of duties to meet deadlines. This position requires a high...
Deaconess Health Systemperspective on workplace flexibility. ***Position is REMOTE*** ***CANDIDATE MUST HAVE EITHER RN OR CPC** ***CANDIDATE... THAT HAS RN AND CPC STRONGLY PREFERRED*** Position Purpose: Designs, develops, and distributes evidence-based medical...
Centenemanagement position (experience can be a combination of LVN/RN licensure) Previous HEDIS and/or CMS STARs experience... ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review requirements...
The Cigna Groupmanagement position (experience can be a combination of LVN/RN licensure) Previous HEDIS and/or CMS STARs experience... ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review requirements...
CignaRegulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...
UnitedHealth GroupRegulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...
UnitedHealth GroupRN Care Coordinator - Carlsbad NM The goal of the RN Care Coordinator role is to improve care delivery of the aligned.... Some actions the RN CC may take, but are not limited to are the following: Works with health center staff to Identify and refer...
The Cigna GroupRN Care Coordinator - Carlsbad NM The goal of the RN Care Coordinator role is to improve care delivery of the aligned.... Some actions the RN CC may take, but are not limited to are the following: Works with health center staff to Identify and refer...
Cigna