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Rocky Mountain Health Plans Opportunities

Placed on 7/16/2017
Views: 177
Web ID 91262-02
Keyword:Rocky Mountain Health Plans Opportunities
Claims Education Specialist
Develop and deliver training programs for Claims Department. Maintain training records, monitoring training activities and measure program effectiveness. Requires Associate's degree in teaching or education and 4 years experience in adult training, adult learning concepts and behaviors.
QI Accreditation and Compliance Manager
Utilize knowledge of health plan quality improvement and health care to plan, direct and manage assigned areas. Responsible for programs and interventions aimed at continuous improvement, including clinical best practices and clinical practice guideline
research. Responsible for data collection, analysis, compliance regulations and documentation. Requires 5 years management experience, knowledge of Quality Improvement, NCQA
Accreditation and HEDIS preferred.
RN Case Manager – Pre-Authorization
Determine insurance plan benefits for services that require pre-authorization within specified timelines. Effectively communicate coverage to internal and external customers. Ability to provide thorough research to support findings. This position is 24 hours per week. Requires unrestricted
RN license and 3 years pre-authorization experience.
Flexible RN Home Health Positions Available!
Work full- or part-time at an organization that offers opportunities for growth, advancement and mentoring! Rocky Mountain Health Plans offers a comprehensive benefits package that includes an innovative Wellness Program, generous paid time off, an amazing work-life balance, and gives back to the community. Deliver quality home health care services to clients in collaboration with our multi-disciplinary team for overall positive patient outcomes.
Requires an unrestricted RN license.
Great People. Great Careers.
EEO/AA Employer M/F/Disability/Veteran
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