RN I, Commercial Risk Adjust

against established guidelines and/or standards to ensure that the services provided are medically appropriate to member-s needs... for members. Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided. Coordinates...

Lugar: Hopewell, NJ | 29/01/2025 03:01:22 AM | Salario: S/. $69500 - 93030 per year | Empresa: Horizon Blue Cross Blue Shield of New Jersey

Manager, Care Management

allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the... initiatives. This position will promote the provision of evidence-based, short-term case management services to long-term care...

Lugar: Richmond, VA | 29/01/2025 03:01:07 AM | Salario: S/. $58800 - 102500 per year | Empresa: Genworth

Manager, Care Management

allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the... initiatives. This position will promote the provision of evidence-based, short-term case management services to long-term care...

Lugar: Richmond, VA | 29/01/2025 03:01:38 AM | Salario: S/. No Especificado | Empresa: Genworth

RN Shift Supervisor Night

facilities and cutting-edge technology equip you with the tools you need to excel, while our supportive culture ensures... of these exceptional benefits as part of our commitment to your well-being. Summary: Supervises and mentors nursing...

Lugar: Logan, WV | 29/01/2025 03:01:10 AM | Salario: S/. No Especificado | Empresa: ScionHealth

Quality Measurement Data Manager

, IT, clinical and ancillary services, and Hospital Leadership to accomplish organizational goals. Qualifications... Required: Registered Nurse with three or more years of nursing or clinical experience. Ability to work independently as well...

Lugar: East Setauket, NY | 29/01/2025 03:01:55 AM | Salario: S/. $88000 - 125466 per year | Empresa: Stony Brook Medicine

Accreditation Regulatory Coordinator FT Days

for Medicare and Medicaid Services (CMS), The Joint Commission (TJC) and other regulatory agencies. The coordinator collaborates... with local leadership (President, Chief Operating Officer (COO), Chief Nursing Officer (CNO), and Chief Medical Officer (CMO...

Lugar: Dubuque, IA | 29/01/2025 03:01:56 AM | Salario: S/. No Especificado | Empresa: Trinity Health