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Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is..
ACT Vocational Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination..
ACT Substance Use Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual..
CCBHC Vocational Specialist (Full Time) Location: Woonsocket, RI Our Community Support Program is searching for a Vocational Specialist to support individuals with co-occurring mental health and substance use challenges in..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides..
Job Information Humana Telephonic Behavioral Health Care Manager in Newport Rhode Island Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to..
Vocational Specialist ACT (Full Time) Location: Woonsocket, RI The ACT Team is conducting a search for a full time Vocational Specialist to begin immediately. ACT is a program to help..
Adult Outpatient Co-occurring Clinician (Full Time) Location: Woonsocket, RI Adult Outpatient Co-occurring Clinician (Full Time) Rate of pay $70,000-$80,000 yearly Location: Woonsocket, RI The Adult Outpatient Program is seeking to..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability..
Master's Rehabilitation Specialist (Full Time) Location: Woonsocket, RI Our Integrated Community Treatment Team (ICTT) is seeking a full-time Masters Rehabilitation Specialist to start immediately. In behavioral health care, integrated care..
Job Description CVS Health has an exciting new opportunity for a Bilingual Customer Care Representative. The Customer Care Contact Center is actively hiring service focused professionals fielding inbound contacts from..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor,..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid..
Masters Level Clinician Co-Occurring (Full Time) Location: Woonsocket, RI If you are a Masters Level Clinician with a Recovery focus, then we have a position for you in our Community..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop..
Medical Assistant (Full Time) Location: Woonsocket, RI We are hiring an organized, motivated, respectful professional Medical Assistant to work in our Community Support program providing support and care coordination to..