American Traveler is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Hilo, Hawaii... in Hilo Hawaii. Qualifications Current professional license as required by the state Proof of eligibility to work in the...
American Traveler is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Waimea, Hawaii... in Waimea Hawaii. Qualifications Current professional license as required by the state Proof of eligibility to work in the...
Heart Association Additional Requirements: Demonstrated knowledge of and skill in conflict resolution, customer service...Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect...
Job Description: Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, go...
Job Description: Oversees development and implementation of HMSA's provider contracting strategy and the primary team responsible for execution of provider contracts. Leadership Provide direction and guidance to staff on provider...
Job Description: Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, go...
Job Description: Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Manag...
Job Description: Utilize medical necessity criteria from established medical policies and clinical practice... guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical...
knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim...
knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim...