Pay Range:$22.05 - $33.08 A successful candidates actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. HSHS is seeking a Credentialing Specialist I-Credentials Verification Organization (CVO). This position
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Teletherapist Opportunity Take control of your career. Join our network of clinicians who value flexibility, autonomy, and work-life balance. Are you a licensed mental health professional ready to step away from administrative burden and traditional office
Essential Duties and Responsibilities - Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract
CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,