Position Summary
FOR MA POSITIONS: Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, prior authorizations and providing interval case consultation by reviewing medical records, assessing the clients needs, and providing resource support for program participants/applicants. This position ensures that eligible individuals are referred to and receive appropriate services based on medical necessity determinations and program/waiver regulations. For Nh Positions Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, including nursing facility level of care determinations and pre-admission screening resident reviews by conducting face to face evaluation and reviewing nursing facility medical records. This position ensures that eligible individuals are referred to and receive appropriate services based on medical necessity determinations and program regulations. This position is based in New Hampshire. Essential Functions...implementation of human resource programs and policies, including recruitment, training and development, compensation and benefits,... ...performing the following Talent Acquisition duties specific to physicians and advanced practice clinicians (APCs): Attracts, sources, acquires...
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Title: Oracle PL/SQL Developer Location: Houston, TX 77002 (ONSITE) Duration: Long Term Contract Work Requirements: US Citizen, GC Holders or Authorized to Work in the Job Description: Must have Skill Set ~ Minimum of 8 years and maximum of 12 yea...
...students. We specialize in all subject areas and cater to students from kindergarten to grade 12. We hire only the BEST - certified teachers, or those in the process of completing their degree in Education and pay higher wages than the industry average. Job Summary...