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Your Search Term(s): Scientific » Nurse » Medical
Job Posting Search Results 01 - 24 of 24

1
Company Job Title Location Posting Date
Aerotek Scientific  Prior Authorization Nurse New Phoenix, Arizona 7/24/2014
...Choice and AHCCCS policy and current medical community standards of care: - Review...Authorization Tech prior to sending to the Medical Director(s) - Review cases and potential denials with the Medical Directors - Research requests not clearly...
Aerotek Scientific  Utilization Review Nurse New Phoenix, Arizona 7/24/2014
...review, as necessary - Communicate with UR Coordinator and Medical Director(s) for determination on reviews that do not meet...ongoing inpatient stays - Complete documentation in electronic medical record and claims systems - Initiate interdepartmental coordination...
Aerotek Scientific  Medical Case Manager New Phoenix, Arizona 7/24/2014
...achieving optimal behavioral health and medical care - Educate members on the importance...authorization/service requests with Medical Director for determination - Complete...assessments and care plans - Request and review medical records - Provide and coordinate community...
Aerotek Scientific  Nurse/Case Mgr-NoPatient Cntct New Lakeland, Florida 7/24/2014
...treatment plans -Coordinating care for members -Providing patient education -Coordinating services as needed -Interacting with Medical Directors on some cases -Making referrals to outside sources -Educating members on the disease process
Aerotek Scientific  Case Review Nurse New Rockford, Illinois 7/23/2014
...claims that are in dispute. This position works closely with the reviewing physicians to compare the report to associated medical records for accuracy and ensure all criteria in the case review have been addressed and well substantiated for approval or...
Aerotek Professional Services  Medical Case Manager Phoenix, Arizona 7/22/2014
...achieving optimal behavioral health and medical care - Review prior authorization/service requests with Medical Director for determination - Provide member...survey with members - Assess member’s medical, social, environmental and functional...
Aerotek Professional Services  Prior Authorizations Nurse Phoenix, Arizona 7/22/2014
...company and AHCCCS policy and current medical community standards of care: - Review...Authorization Tech prior to sending to the Medical Director(s) - Review cases and potential denials with the Medical Directors - Research requests not clearly...
Aerotek Scientific  Licensed Practical Nurse Phoenix, Arizona 7/22/2014
...correspondence, and authorizations. Medical Case Manager: *Provide Case Management...achieving optimal behavioral health and medical care Monitor members identified through...Assist members in obtaining routine medical care through their assigned Primary Care...
Aerotek Scientific  Registered Nurse's Phoenix, Arizona 7/22/2014
...correspondence, and authorizations. Medical Case Manager: *Provide Case Management...achieving optimal behavioral health and medical care Monitor members identified through...Assist members in obtaining routine medical care through their assigned Primary Care...
Aerotek Professional Services  Utilization Review Nurse Phoenix, Arizona 7/22/2014
...of experience in a health care setting, preferably in Managed Care (Health Plan/HMO/Medicaid/Medicare), Hospital, Medical Surgery, Clinical, OB, or Pediatric field. To be considered for this position, please apply to this posting. Interviews...
Aerotek Scientific  Medical Case Manager Phoenix, Arizona 7/22/2014
...achieving optimal behavioral health and medical care - Educate members on the importance...authorization/service requests with Medical Director for determination - Complete...assessments and care plans - Request and review medical records - Provide and coordinate community...
Aerotek Scientific  Utilization Review Nurse Phoenix, Arizona 7/22/2014
...review, as necessary - Communicate with UR Coordinator and Medical Director(s) for determination on reviews that do not meet...ongoing inpatient stays - Complete documentation in electronic medical record and claims systems - Initiate interdepartmental coordination...
Aerotek Scientific  Prior Authorization Nurse Phoenix, Arizona 7/22/2014
...Choice and AHCCCS policy and current medical community standards of care: - Review...Authorization Tech prior to sending to the Medical Director(s) - Review cases and potential denials with the Medical Directors - Research requests not clearly...
Aerotek Scientific  Pre-Certification Coordinator Birmingham, Alabama 7/21/2014
...Coordinator for a Contract position in the Birmingham area. Position entails collaborating with health care providers, assessing medical necessity of inpatient and admissions services, knowledge of Medicare guidelines and requires a working knowledge of CPT and...
Aerotek Scientific  Nurse/Case Manager Indianapolis, Indiana 7/21/2014
...identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement...
Aerotek Scientific  TeleHealth- CaseManagers Richmond, Virginia 7/21/2014
Aerotek Scientific  LVN/RN - Nurse/Case Mgr Long Beach, California 7/18/2014
...access to preventive services and promote ongoing cost effective medical care in the least restrictive environment. Essential Functions...and applicable assessments, including the verification of medical history and current health and wellness needs. - Utilize a...
Aerotek Scientific  TeleHealth - Case Manager Atlanta, Georgia 7/18/2014
The candidates in this position will be reaching out to Medicare members to help explain any clinical/ medical questions that can't be answered by customer service representatives. Medicare only and most patients are older, geriatric...
Aerotek Scientific  Registered Nurse Overland Park, Kansas 7/17/2014
...willing to submit to a standard drug screen and background check. Starting Pay, Benefits and Duration: - $30 - 32/hour - Long term contract position. Open ended. - Full benefits are available (Medical, Dental, Vision, 401K, etc.)
Aerotek Scientific  RN Utilization/Prior Authorization San Antonio, Texas 7/10/2014
...Antonio, TX. Performing utilization review, pre-certification, concurrent and retrospective reviews. Determining the medical necessity of managed care. Qualifications: 5 years experience as an RN OR 2 years in Managed Care(insurance, HMO, PPO...
Aerotek Scientific  Non-clinical Registered Nurse Warminster, Pennsylvania 7/7/2014
...consumers for a specific pharmaceutical program (won't know what program until they interview with the client). Answering medical inquiries over the phone regarding: -Adverse events- in this case they will have to write up a complaint report -Questions...
Aerotek Scientific  Bilingual Case Manager Phoenix, Arizona 6/6/2014
...initiatives are completed successfully and timely. This position assists in the clinical quality of care review process, the medical record audit process for the delegation oversight, quantitative and qualitative analysis of data for presentation to appropriate...
Aerotek Scientific  Quality Management Nurse Phoenix, Arizona 6/6/2014
...initiatives are completed successfully and timely. This position assists in the clinical quality of care review process, the medical record audit process for the delegation oversight, quantitative and qualitative analysis of data for presentation to appropriate...
Aerotek Scientific  Call Center - Registered Nurse Warminster, Pennsylvania 5/7/2014
This position requires Registered Nurses to answer medical inquiries over the phone in the following therapeutic areas: COPD; Diabetes; HIV/AIDS; Hypertension; Parkinson; Restless...

Job Posting Search Results 01 - 24 of 24
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