467,910 Support Team Member Jobs Nationwide

* Location: 2 Centerock Rd, West Nyack, NY 10994 * Hours: Four 10 hour shifts per week between 7:30am & 6:00pm and one Saturday shift per month * Specialty...

* Demonstrates clinical competence in the direct care of patients/significant others in established area of practice, considering developmental...

* Supports case management operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating)...

* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...

* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...

* Experience presenting information and responding to questions from internal and external stakeholders which can or may include community...

* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...

* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...

* Directs the daily operations of the GSTX branches (Alice, Corpus Christi, McAllen, and El Paso) to ensure the provision of safe, quality, cost...

* Conduct individual, family or group therapy sessions based on ethical and medical necessity guidelines; involve patient and/or family in treatment...

* Conduct individual, family or group therapy sessions based on ethical and medical necessity guidelines * Develop and coordinate a clinical...

* Develop market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS...

* Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others, as necessary * Expresses...

* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...

* Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral...

* Performs all nursing duties within the scope of a Licensed Vocational/Practical Nurse (procedures, injections, medication administration...

* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...

* Analyze data, evaluate for possible data integrity and data deficits and document findings * Analyze and trend HEDIS/STAR rates, identify barriers...

* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...

* Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others, as necessary * Expresses...