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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.<h2>Position Summary</h2>This position is 100% remote Working hours will be Tuesday-Friday 9:30AM – 6:00PM EST, Saturday 8:00AM - 4:30PM EST. Holidays will be on rotation. No travel is required. Applicants from any state can apply. Job DescriptionUtilizes clinical and critical thinking skills to complete notice of action (NOA) letters members and providers for approved or denied services. Requires LPN/LVN with unrestricted active license. Promotes/supports quality effectiveness of Healthcare Services and benefit utilization Utilizes clinical and critical thinking skills to write and audit notice of action letters to members and providers for approved or denied services. Collects information to support the process of rendering appropriate, member friendly, notice of action letters. Utilizes clinical experience, criteria/guidelines, policies, and procedures in support of ensuring that letters are timely and accurate. We work closely with the utilization management team.Required Qualifications- 1 year of clinical experience required- LPN/LVN with current unrestricted licensure requiredPreferred Qualifications- 2 years managed care experience.- 2 years prior authorization experience.- Prior experience using Quadient and/or MedCompass.- Effective communication and organization skills.- Outpatient Clinical experience- Knowledge of Medicare/Medicaid- Computer literacy to navigate through Internal/external computer systems, including Excel and Microsoft Word. EducationLicensed Practical/ Vocational Nurse diploma/ Associate DegreeAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$21.10 - $43.78This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

LPN - Notice Of Action Letter Auditor

<a href="#"> Back </a> <h1>Medical Assistant / MA OBGYN</h1>

Hillcrest Healthcare System

Medical Assistant / MA OBGYN

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Utica Park Clinic

BE/BC Non-Invasive Cardiologist - Join a Multidisciplinary Heart Center in Tulsa, OK

ENT PA/First Assist Employment | Tulsa, OK | No Call/No Weekends

Start in 2025! Full-Time CNS Cardiology at the Oklahoma Heart Institute

<a href="#"> Back </a> <h1>Licensed Practical Nurse / LPN Urology</h1>

Licensed Practical Nurse / LPN Urology

Medical Assistant / MA Women's Health

Medical Assistant / MA North Tulsa Pregnancy Care Center

<ul> <li> </li> </ul> We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> One Burton Hills Blvd. Suite 250 Nashville, TN 37215 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. Here is the google script and the instructions: Paste this code as high in the of the page as possible: Additionally, paste this code immediately after the opening tag:

Gastroenterologist - Full-Time Employment at Hillcrest Hospital South (Tulsa, OK)

Current Saint Francis Employees - Please click <a href="http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld" target="_blank">HERE</a> to login and apply. Full TimeDaysSchedule: Monday - Friday | 8:00am - 5:00pmJob Summary: The Compliance Specialist assists with the day-to-day operations of the Corporate Compliance program within Saint Francis Health System (SFHS). This role participates in program activities and supports departmental systems and processes that align with the mission and goals of the health system.Minimum Education: High School diploma or GED. Associate’s degree, preferred.Licensure, Registration and/or Certification: None. Certified in Healthcare Compliance (CHC) from the Health Care Compliance Association (HCCA), preferred.Work Experience: Minimum 1 year of healthcare compliance experience. Experience within a hospital setting, preferred. Knowledge, Skills, and Abilities: Working knowledge of Microsoft 365. Strong knowledge of healthcare regulations and industry standards. Effective knowledge and experience working with electronic health record (EHR) systems and other applicable healthcare systems. Excellent communication skills, both written and verbal, that present clear and concise information. Strong project management skills with the ability to manage multiple priorities simultaneously. Superior ability to collect, analyze, and disseminate significant amounts of information with attention to detail and accuracy.Essential Functions and Responsibilities: Works with team members to complete audits and other projects on the departmental workplan to support continuous monitoring of identified compliance risks and priorities. Assists with the maintenance of the compliance activity tracking database, audit system, and other related compliance software and tools. Helps with the development and care of departmental education and training materials. Supports and conducts research, root cause analysis and gap analysis for effective remediation and corrective actions. Aids in investigations of alleged breaches of policy, misconduct, or other acts of non-compliance to determine the cause, extent of loss and methods of prevention. Helps to ensure appropriate policies and procedures are in place to promote regulatory compliance across the health system.Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.Special Job Dimensions: None.Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Corporate Compliance - Yale CampusLocation:Virtual Office, Oklahoma 73105EOE Protected Veterans/Disability

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