A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team.Key ResponsibilitiesDevelop and implement training programs for Claims, Medical Management, and Case Management staffMaintain knowledge of AHCCCS and Medicare regulations to ensure compliance and effective claims adjudicationAnalyze training needs and provide focused training based on data and audit findingsRequired QualificationsHigh School diploma or equivalentTwo years of training experience in an insurance or healthcare environmentThree years of experience with Case Management, Disease Management, or claims typesStrong working knowledge of Microsoft Office SoftwareKnowledge of medical terminology and coding (ICD-9, CPT-4)
Health Plan Claims Educator
A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team. ...
Community Health Worker
A company is looking for a Community Health Worker to conduct member outreach and promote healthy outcomes for members in North Carolina. ...
Registered Nurse Case Manager
Team Select is looking for a RN Case Manager to join our Team Select family. The RN Case Manager will split their time in the office as well in the field with the nurses and our patients. The RN Case manager will report to the Director of Clinical Services/Nursing Supervisor. ...
RN Case Manager Field Home/Facility Visits - Broward County
Understanding of and ability to apply characteristics of Hospice Nursing: case management, crisis intervention, communication skills, teaching skills, thanatology skills and needs. ...
Medical Social Worker Home Health
Community Home Health Services. Home Health Social Worker / MSW. MSA is now a comprehensive home healthcare provider that offers home healthcare, hospice care, home medical equipment and supplies, diabetic supplies, respiratory services, mail order supplies, enteral nutrition therapy, senior/assiste...
Coordinator, Radiation Therapy Clinical Program - Part Time (Two Vacancies)
This position will serve as the clinical staff as a liaison between students, clinical instructors, the Program Manager and the Associate Dean for all issues pertaining to management of the clinical education portion of the program. Under limited supervision, this position is responsible for coordin...
Clinical Registered Nurse Educator, Surgical Administration, FT, 10:30A-7P
The clinical RN Educator is recognized for clinical and educational expertise. Degrees: Bachelors Licenses & Certifications: Basic Life Support Registered Nurse Additional Qualifications: Bachelors degree in Nursing, BSN. ...
RN Telephonic Nurse Case-Manager - FL Workers' Comp
Telephonic Nurse Case Manager. Must have at least one year of Florida Workers' Compensation or occupational case management experience. Providing telephonic case-management in a Workers' Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coor...
Nurse Educator Women's Services
We partner with our Nurses at HCA Healthcare!Job Summary and QualificationsThe Nurse Educator enhances professional practice and the provision of quality patient care by providing evidence-based quality educational programs and activities that promote professional competency for nursing, inter-profe...
Program Manager CVC Operations
As part of this mission, Chewy is seeking a Project Manager, CVC Facilities to help us build a connected, flawless customer experience for our Veterinary practices. What you’ll do:Complete practice set operations including handoff from construction, final installation of equipment, and final handoff...