Improvement/Peer Review, Utilization/Case Management, Quality Management , or Risk Management. Valid RN License from Virginia... Functions & Responsibilities: Performs data and individual case analysis in accordance with established medical staff...
Improvement/Peer Review, Utilization/Case Management, Quality Management , or Risk Management. Valid RN License from Virginia... Functions & Responsibilities: Performs data and individual case analysis in accordance with established medical staff...
Improvement/Peer Review, Utilization/Case Management, Quality Management , or Risk Management. Valid RN License from Virginia... Functions & Responsibilities: Performs data and individual case analysis in accordance with established medical staff...
Improvement/Peer Review, Utilization/Case Management, Quality Management , or Risk Management. Valid RN License from Virginia... Functions & Responsibilities: Performs data and individual case analysis in accordance with established medical staff...
*** The Registered Nurse (RN) who serves in the role of System Case Management Specialist/Analyst will serve the Case... partnerships with the goal of establishing evidence based best practice with quality outcomes. The Case Management Specialist...
Nurse (RN) who serves in the role of System Case Management Specialist/Analyst will serve the Case Management division... of establishing evidence based best practice with quality outcomes. The Case Management Specialist/Analyst collects and analyzes data...
.S. in Nursing Three to Five (3-5) years recent experience in an acute-care environment, case-management, or utilization management...: Current Licensure as a registered nurse, in the state of residence in good standing. Associates degree, diploma, or B...
Position Overview United Health Services (UHS) is seeking a Quality Management Nurse Analyst to support our commitment... Department, Division, or Unit: UHS Quality Management Primary Work Shift: Day Regular Scheduled Weekly Hours: 40...
healthcare and reports them to leadership. * May serve as backup to absent Grievance & Appeals Case Analyst(s). Attends... of related work experience, preferably in Grievances & Appeals, health care customer service, case management or health plan...
Employment Type: Full time Shift: Day Shift Description: Risk Management Analyst FT Days- M-F onsite Mission... and transforming healing presence within our communities. POSITION SUMMARY The Clinical Risk Management Analyst is responsible...
) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany... related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; Case management, MDS 3.0 Resident...
related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; Case management, MDS 3.0 Resident...Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical Analyst, Opportunity...
Improvement/Peer Review, Utilization/Case Management, Quality Management , or Risk Management. Valid RN License from Virginia... Functions & Responsibilities: Performs data and individual case analysis in accordance with established medical staff...
of member records and call engagements to assess performance of case management and nursing skills Apply advanced knowledge... programs include Maternity, Oncology, Treatment Decision Support, Case Management, Disease Management, Behavioral Health, RN...
Strategy Analyst Job Description You’re not the person who will settle for just any role. Neither... with YOU. The Strategy Analyst role is responsible for orchestrating and managing the execution of transformation initiatives...
Summary We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role... as a RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Coding Quality Analyst... and ensure they are meeting all compliance turnaround times mandated by the client. The Coding Quality Analyst must be proficient...
partnerships. The Medical Records Analyst & Educator is a member of HWCS’ Healogics Documentation Team who works closely... and responsibilities of the Medical Records Analyst & Educator include analysis of medical records to support daily claims analysis...
Job Description: . This role requires clinical experience as an Operating Room registered nurse or as a surgical... technician. Procedure card Analyst is responsible for the maintenance, standardization, and analysis of effective operating...
account/case management infrastructure Foreign exchange - complete complex analysis of exposures on a global basis... is hiring a Treasury Analyst to support our global treasury needs. This role will integrate with the broader finance team...