HarrisburgRecruiter Since 2001
the smart solution for Harrisburg jobs

Medical Program Specialist

Company: Centene Coproration
Location: Harrisburg
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: Responsible for analyzing various medical management programs that impact URAC/NCAQ. Conduct audits of various departments and modify/create training materials as necessary based on audit results. Develop and modify processes, and conduct the assessment of/planning for programs that impact URAC/NCQA. Conduct program analysis for variety of functions, and/or processes, with reporting on trends and overall metrics. Collection and analysis of data for any Corporate, or State, initiatives. Audit various departments including the concurrent review team and outpatient case managers and various functions including Interqual reviews. Develop and administer new hire Interqual testing process and remedial training programs. Responsible for maintenance of the training database records to ensure all training is reported and tracked. Develop and train on the comprehensive discharge planning curriculum, with pre and post testing, for Medical Management department.

Keywords: Centene Coproration, Harrisburg , Medical Program Specialist, Healthcare , Harrisburg, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Social Worker
Description: 425 N Duke St, Lancaster, PA 17602, USA We are seeking a Social Worker to join our skilled nursing home Rose City Nursing and Rehabilitation in Lancaster PA br br The Social Worker is responsible (more...)
Company: Rose City Nursing and Rehab
Location: Lancaster
Posted on: 12/13/2019

Travel Nurse ICU Trauma Unit RN
Description: Nationwide Travel Nurse Jobs - Trauma ICU RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Travelers
Location: Lancaster
Posted on: 12/13/2019

Anesthesiologist
Description: Position Summary br br Ensuring the comfort and safety of members of the Air Force family is a top priority, especially when they need medical attention. Responsible for administering local and general (more...)
Company: U.S. Air Force
Location: Lancaster
Posted on: 12/13/2019


Neonatal Nurse Practitioner - Lancaster General Hospital
Description: SunIRef:GP Neonatal Nurse Practitioner - Lancaster General Hospital Children's Hospital of Philadelphia 712 reviews - Lancaster, PA 17601 Children's Hospital of Philadelphia 712 reviews Read what people (more...)
Company: Children's Hospital of Philadelphia
Location: Lancaster
Posted on: 12/13/2019

Registered Nurse - RN
Description: Description br br HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and
Company: HCR Manorcare Inc.
Location: Chantilly
Posted on: 12/13/2019

Registered Nurse Emergency
Description: SunIRef:Nurse:title Registered Nurse Emergency Inova Health System 1,086 reviews - Leesburg, VA 20176 Inova Health System 1,086 reviews Read what people are saying about working here. The ED at Inova's (more...)
Company: Inova Health System
Location: Leesburg
Posted on: 12/13/2019

REGISTERED NURSE - INTERVENTIONAL RADIOLOGY
Description: REGISTERED NURSE - INTERVENTIONAL RADIOLOGY Location: United States - Pennsylvania - West Reading DESCRIPTION Industry: Healthcare / Health Services - Nursing / LPNs / LVNs Job Category: Medical / Health (more...)
Company: WPA Staffing Solutions, LLC
Location: Lancaster
Posted on: 12/13/2019

Burn Unit - ICU - RN - Travel (Lancaster,PA)
Description: Registered Nurse. Travel
Company: HealthCare Traveler Jobs
Location: Lancaster
Posted on: 12/13/2019

Nationwide Travel RN Nursing Jobs - All Specialties
Description: Travel Nurses Needed - All RN Specialties Nationwide Registered Nurse Travel Jobs Looking for a RN travel assignment You are in the right place, the HCEN Network of staffing agencies have numerous assignments (more...)
Company: HealthCare Travelers
Location: Leesburg
Posted on: 12/13/2019

Emergency Department - ED/ER RN - Travel (Lancaster,PA)
Description: Registered Nurse. Travel
Company: HealthCare Traveler Jobs
Location: Lancaster
Posted on: 12/13/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds