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The Health Plan of West Virginia Inc
Overview
Responsible for the credentialing and recredentialing of ancillary providers in compliance with NCQA, Medicare, and state policies. Tasks include monitoring application status, performing data entry in provider systems, and assisting with internal and external audits.
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Compensation
Salary not listed
Posted
3 days ago
SENECA HEALTH SERVICES INC
Provide psychiatric nursing services, assessments, and medication management for ACT clients to reduce hospitalizations and support community placement. Coordinate and supervise AMAP certified employees while ensuring clinical documentation meets regulatory standards.
$67,275 / YEAR
24 days ago
Pulse Healthcare
The role involves working as a Biomedical Scientist in Haematology & Blood Transfusion within a clinical laboratory. You will contribute to a busy and well-established laboratory service.
£25 - £27 / HOUR
1 month ago
The Nurse Navigator coordinates and provides case management services, performing comprehensive assessments of medical, behavioral, functional, and social determinant of health factors to develop and maintain individualized care plans. Responsibilities include facilitating care aspects across the continuum, acting as an advocate for members, arranging community services, and documenting all interactions and workflows to ensure regulatory adherence.
3 months ago
The Nurse Navigator coordinates and provides case management services, performing comprehensive assessments and developing individualized care plans to help members achieve wellness and autonomy. Responsibilities include facilitating care aspects across the continuum, acting as an advocate, arranging community services, and documenting all interactions and workflows according to regulatory standards.
