- BAYADA Home Health Care (Mount Airy, NC)
- …care and skilled nursing to clients, affording them the opportunity to receive the medical care required to remain at home. **At BAYADA, we believe our employees are ... or the Committee on Allied Health Education and Accreditation of the American Medical Association, as indicated by school transcript or diploma. + Ability to work… more
- Maxim Healthcare Services (Greensboro, NC)
- …and dedication are truly valued. #IND123 Maxim Benefits: Health and Wellness Medical /Prescription, Dental, Vision, Health Advocacy ( company paid if enrolled ... difference in the lives of those you serve. + Company Culture: Become a valued part of our supportive...Security: Employee Assistance Program, Health Savings Account, 401(k) + Company Match, Profit Sharing, Short and Long Term Disability,… more
- Cardinal Health (Raleigh, NC)
- …in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may ... this level:** + Effectively applies knowledge of job and company policies and procedures to complete a variety of...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cardinal Health (Raleigh, NC)
- …you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge ... level customer service + Experience conducting and documenting patient medical health insurance benefit investigations, prior authorizations, and appeals, preferred… more
- Datavant (Chapel Hill, NC)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy… more
- Fujifilm (Raleigh, NC)
- …to working OT to handle workload and meet required metrics/expectations. ** Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission ... effectively communicate with our customers, and document the interactions within a case . + Works cross-functionally with other Synapse teams/products as required and… more
- Highmark Health (Raleigh, NC)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required.… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
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