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32

Nursing Clinical Analyst Jobs in Newtown





Job info
 
Company
**********
Location
Pittsburgh, PA
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description The ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Clinical Recruiter in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Senior Clinical Recruiter recruits qualified applicants for ... determines marketing approach. The Senior Clinical Recruiter..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Mar 22, 2023
Info Source
Employer  - Full-Time  90 

... RN, you will enter our Clinical Advancement Program (CAP) to grow ... in CAP, you will develop clinical leadership skills, derive greater career ... for your experience, knowledge, and..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Jun 02, 2023
Info Source
Employer  - Full-Time  90  

... applicable state) responsible for providing clinical expertise in any of the ... any of the following areas: Clinical Interface/Liaison (clinical problem solver with facilities, providers, ... interpretation, program definition..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Nov 03, 2021
Info Source
Employer  - Full-Time  90  

... brand association as a credible clinical leader through clinical engagement activities. Provides the organization ... activities. Provides the organization with clinical insights that improve the ability ... meet emerging..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Oct 17, 2021
Info Source
Employer  - Full-Time  90  

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Aug 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Jul 09, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere ... Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing the team ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... for appropriate change management. Applies clinical and coding experience to conduct ... Nurse (RN) license 3 years..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Feb 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..

 
Company
**********
Location
Export, PA
Posted Date
May 10, 2023
Info Source
Employer  - Full-Time  90 

... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Pittsburgh Pennsylvania Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

... 2 will work on the clinical research and development team with ... to develop, implement and maintain clinical lab audit concepts. The Nurse ... Nurse Auditor 2 will perform..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 05, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product ... Product Strategy team. The Senior Clinical Business Professional work assignments involve ... at home anywhere..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Oct 07, 2021
Info Source
Employer  - Full-Time  90  

... will be responsible for performing clinical audits on medical record documentation ... record documentation for quality and clinical compliance with contract requirements as ... of three (3) years of..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Oct 28, 2021
Info Source
Employer  - Full-Time  90  

... entry level designation into the Clinical Advancement Program for Registered Nurses. ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... under the direction of the..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... Humana RN, Senior Stars Improvement, Clinical Professional in Pittsburgh Pennsylvania Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..

 
Job title
GRANTED JOB
Company
Renal Advantage Inc.
Location
Canonsburg, PA
Posted Date
Oct 06, 2021
Info Source
Employer  - Full-Time  90  

... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... approach. Responsibilities The Supervisor, Pre-Authorization Nursing: Completes..

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