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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Will be aware of what constitutes a change of condition and report to Medication Aide/Resident Care Coordinator/RN immediately. Notifies Resident Care Coordinator/Executive Director/RN of resident changes of condition.
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Must have national accredited wound certification (CWS, CWCN, WCC, CWON, WOC, AWCC)or be committed to complete Advanced Wound Training and national accredited Wound Certification within 1 year of hire (For those hired with wound certification, completion of a fast-track hybrid program for regulatory wound care requirements will be provided.
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Provide daily screenings for clients seeking substance use treatment in accordance with the DSM-V criteria, State rules and the Texas Department of Insurance (TDI) criteria to determine eligibility or referral.
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Adhere to all rules, regulations, codes of ethics, guidelines and federal, state and local laws applicable to home-health pediatric speech language pathology. Develop home exercise programs in partnership with patients’ caregivers.
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The Registered Nurse Care Manager will work in a team-based model with a lead care manager community health worker, behavioral health care manager, and nurse practitioner to contribute their clinical expertise towards improving the individuals quality of life through activities such as health education and complex care management.
Full-timeRemoteExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Act as a vital member of your patients' medical neighborhoods, collaborating and coordinating care between various providers and disciplines. Medical/Dental/Vision insurance for full-time and part-time employees.
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The Associate Patient Care Coordinator (Assc PCC) is responsible for providing general functions that include patient telephonic outreach and greeting with the purpose of scheduling, patient registration and consent, insurance verification, and scheduling of diagnostic and follow-up appointments to support the goals of the Practice Support Unit (PSU.
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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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The growing campus offers 253 beds and access to the most innovative medical and surgical care available, including cardiology and cardiovascular surgery; neurology and neurosurgery; comprehensive cancer care; orthopedics and sports medicine; gastroenterology; bariatrics; childbirth center with level III NICU; emergency care; and advanced imaging.
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Insurance Defense Attorney. Associate Attorney - Insurance Defense. Experience: Typically requires 2-5 years of relevant experience in insurance defense litigation. Tort defense, depositions, insurance defense, trucking, construction defect, premise liability large catastrophic cases.
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The duties of a Registered Nurse (RN) & Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) are designed to help you succeed providing exceptional one on one patient care in our patient’s home.
$26 - $37 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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That includes providing competitive compensation, professional development and a full benefit package: Medical/Dental/Vision Paid Holidays Vacation/Paid Sick Leave Voluntary Life Insurance 401K Telehealth Benefit covers all providers Maternity and Paternity Leave New Dads and Moms Benefit program Fertility Benefits Gender -Affirming Care POWER is a fun engineering firm.
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Referral services for child, elder and pet care, home and auto repair, event planning and more. Through its services, Sarah Cannon provides state-of-the-art cancer care for hundreds of thousands of patients.
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Health Savings Account and Dependent Care Reimbursement flexible spending accounts. The position requires hands-on experience in transgenic mouse models of pulmonary infection and disease, isolation, culture, and manipulation of primary immune cells, bacterial propagation techniques, multicolor flow cytometry, microscopy, immunostaining, and basic biochemical techniques.
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home care insurance jobs Company: Silverado in Houston, MO, Canada
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