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Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract rebate terms. Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
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Participates in monthly review of MARS and develops MAR for new participant as indicated. Job Overview:This position assists physician and/or registered nurse in providing clinical care and/or supervising care delivered by medical assistants and collaborates with physicians and other health care team members in meeting patient/family needs.
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You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. Discounts to your favorite activities, restaurants, health & beauty, shopping, and hotels.
$2,334 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Competitive compensation, bonus and health benefits Clear path to leadership, if desired Ability to have earned flexibility and work/life balance Unique culture and office environment, people matter Award winning design and high-profile clients Compensation: $80,000- $130,000 (negotiable depending upon experience and technical skill-set) Excellent benefits package (401k, Health, Dental, Bonus) Please carefully review position details and qualifications, prior to applying to this position.
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Responsible for managing a team of physical and/or responsible for coordinating member service, utilization, access, care management and/or concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services for one or more member product populations of varying medical complexity ensuring the delivery of essential services that address the total healthcare needs of members.
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Responsible for bi-monthly review of A/R and follow-up on A/R, out>120 days, on-going communication with Regional Vice President and reimbursement department. Review with Regional Vice President/Chief Operating Officers.
$71.8 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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During your assignment, you’ll be able to select premium benefits like Day-1 health coverage, 401K matching, travel reimbursements, housing support and more. Host Healthcare is seeking an experienced Physical Therapist for an exciting Travel Allied job in Fairfield, OH. Shift: Inquire Start Date: 11/04/2024 Duration: 21 weeks Pay: $1650.24 / Week About Host Healthcare: At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve.
$1,650.24ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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2022 or Newer Models In Person or Virtual Orientation 99% No Touch Freight High Refrigerated Freight Volume – Run 2600-3000 mi/week Earn 1 Day Off For Every Week Out Full Health Benefits – Medical, Dental, Vision, Life Pet & Rider Policy Hiring Requirements: Valid & Current Class-A CDL License Must be 21 years old Must have 6 months Over-The-Road Tractor-Trailer experience in last 18 months Good MVR - will review No DWI/DUI in last 3 years Navajoexpress.
$100,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Has understandingabout plan rejects and plan edits- Has knowledge aboutCVS tools and techniques, like EZTEST, EZQUERY.- Has capability toperform review of cases with Clients and customers. Clinicaland Benefit Testing SME. EZTEST, EZQUERY Tools Roles and Responsibilities:Has the ability tounderstand technical specifications and create test cases based on Clinical andbenefit plan understanding.
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Complete in person nursing assessments as well as medication and chart review in long term care facilities (LTC). Preferably has experience working in LTC facilities as well as Behavioral Health.
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Review all medications and perform a medication reconciliation at each visit. Amedisys is a leading provider of home health, hospice and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system.
$38.65 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Leaf Home and its products, including the patented LeafFilter gutter protection system, have earned numerous awards and recognition from Good Housekeeping, Qualified Remodeler, Angi, Consumer Reports, This Old House and other consumer review platforms.
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Meet with Sous Chef/Station Cook I to review assignments, anticipated business levels, changes and other information pertinent to the job performance. Maintain proper storage procedures as specified by Health Department and hotel requirements.
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Behavioral Health Nurse. Our clients are supported by a team of Registered Nurses (RNs),Licensed Practical Nurses (LPNs), certified nurse practitioners, psychiatrists, mental health counselors, social workers, and case managers to ensure the best outcomes for those we serve.
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Act as a Subject Matter Expert (SME) in regulatory compliance, performing comprehensive federal and multi-state regulatory research and analysis on health insurance topics associated with vision services.
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review health jobs in West Chester, OH
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