Responsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals. The end-to-end process requires the Specialist to independently:. Work within a framework that measures productivity and quality for eac...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. ...
Provides pre-sale product clinical evaluations and/or educational sessions to potential customers in partnership with customers, develop and administer clinical training to the end-user personnel aligned with Sales Order Agreement (SOA) to deliver excellent clinical education to achieve high Net Pro...
MedUS Healthcare is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Bridgeport, WV. MedUS Healthcare, formerly Axis Providers, is a Joint Commission certified staffing company that specializes in the recruitment, placement, and partnership of travel nur...
Host Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Bridgeport, WV. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...
TRS Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Bridgeport, WV. TRS Healthcare is seeking a Registered Nurse that is licensed in WV to work in the specialty area of Telemetry Unit. The Registered Nurse assumes responsibility and accountabilit...
Senior Project Manager (Water Resources). Other benefits include performance and spot-bonuses, as well as our stock ownership program which is available to all employees, internal project manager and sales training, mid-year and end-of-year performance reviews and goal setting. As a Project Manager ...
Geotechnical Engineering Project Manager. CEC) in Bridgeport as a Geotechnical Project Manager in the Geotechnical Group. Other benefits include performance and spot-bonuses, as well as our stock ownership program which is available to all employees, internal project manager and sales training, mid-...
Must be fully licensed through the state as a Registered Nurse (RN). Graduate nurses with a temporary practice permit are welcome to apply. ...
Can analyze and visualize data while identifying key decision points in data set(s). Deep understanding of using raw data to draw insights, including the entirety of the Data & Analytics landscape. Survey Design, Administration, and Analysis- Informally lead and work with teams conducting root c...
Design and optimize SQL queries and stored procedures to ensure efficient data retrieval and reporting. Collaborate with business analysts and stakeholders to understand reporting requirements and translate them into technical specifications. Ensure data accuracy, integrity, and security across all ...
Grafton City Hospital is a rural hospital with vision, diversity, stability, and a future.A strong contributor to the county's economic status as it is the one of the largest employers in Taylor County at GCH, we have one simple mission: We are committed to the promotion of wellness and to the provi...
Registered Nurse Career Opportunity. We're looking for Registered Nurses who are inspired by the prospect of caregiving the way it should be. We're a Nurse first organization and we think that's special. Whether you're building a foundation in your early career or you're a seasoned nurse looking for...
Current unencumbered licensure with the WV Board of Registered Professional Nurses, or appropriate state board where serviceswill be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). The Graduate nurse must obtain licen...
If you’re a driven and passionate Construction Project Manager eager to manage exciting projects, we want to connect with you. A successful track record as a project manager capable of handling multiple projects concurrently. A flourishing construction corporation is actively seeking a Project Manag...
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nur...
This job implements effective complimentary utilization and case management strategies for an assigned member panel.Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and util...
Review proposal specifications and drawings to determine scope of work and required contents of estimate to determine change order specs • Calculate the cost of electrical constructions based on reviewing and evaluating available documents • Analyze project for value engineering opti...
Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Perform modeling of data sources and flows, wo...
Manage all phases of project execution including project organization, subcontractor management, scheduling, financial management, health and safety stewardship, and reporting. Do you have a passion for managing budgets, meeting deadlines, and exceeding client expectations? Our delivery management p...
This job consults with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations. Develop and implement data collection syste...
The professional registered nurse has the authority, responsibility, and shift accountability for the delivery of nursing care through the use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical knowledge skills, and uses independent nursing judgment for c...
Acquire and maintain clinical knowledge and information on the disease states in which the program is involved. Demonstrated ability to make valid clinical judgments concerning a patient's drug therapy needs, given the guidelines of the program. Registered Pharmacist in WV or Eligible for Registrati...
Civil Engineering Project Manager. Other benefits include performance and spot-bonuses, as well as our stock ownership program which is available to all employees, internal project manager and sales training, mid-year and end-of-year performance reviews and goal setting. As a Civil Engineering Proje...
Ensures data integrity and compliance by performing data cleansing, data audit and/or data validation. Ensure data integrity and compliance by performing data cleansing, data audit and/or data validation. Provides business process, system support and data quality governance through data coordination...