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Senior Provider Enrollment Specialist
Key Responsibilities Research and resolve payer enrollment issues by following up with market locations and CMS Manage the completion and submission of applications for CMS Medicare, State Medicaid, and other third-party payers Maintain documentationCredentialing Specialist
and review alerts for sanctions and exclusions Required Qualifications High School Diploma or GED Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program Previous experience leading, guiding, or mentoring othersRemote Facility Coder Educator
Key Responsibilities Develops and coordinates training materials and programs for Company Information Management staff and other personnel Assesses skills and competencies of new hires and provides orientation and training on job skills Maintains educationalVirginia Licensed Registered Nurse Trauma Registrar
Key Responsibilities Maintains data integrity through regular quality checks and database maintenance Ensures compliance with HIPAA and regulatory requirements related to the trauma registry Develops and compiles reports and assists in training othersMN Licensed Epic BI Developer
work experience Preferred experience with Epic software and as a Business Intelligence Developer in the healthcare industry Extensive experience with Epic SlicerDicer, Reporting Workbench, and Radar Dashboards Proficient in SQL, T-SQL, PL/SQL, or otherVirginia Licensed Utilization Management Nurse
Key Responsibilities Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment Makes decisions related to resources, approach, and tactical operations for departmental projects and initiatives...Conducts briefings and area meetings, maintaining frequent contact with other managers across the department Required Qualifications Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license (eNLC) with no disciplinary action MinimumPrincipal Benefits Analyst
required 7 years of work experience in Benefits Must be eligible to work in the United States without the need for work visa or residency sponsorship Strong understanding of relevant federal and state regulations (ERISA, ACA) Proficiency in Excel and otherMississippi Licensed Triage Nurse
A company is looking for a Triage Nurse - RN for evening hours and every other weekend.Massachusetts RN Utilization Management
inpatient cases using evidence-based criteria Collaborates with care management and medical directors to facilitate discharge planning and ensure compliance with guidelines Monitors inpatient cases for regulatory compliance and provides guidance to otherTexas Licensed RN Psych Educator
Key Responsibilities Facilitates learning and development for nursing and healthcare staff Acts as a change agent to improve processes at various system levels Mentors and supports Company professional development Company others in Company field Required Qualifications
