Comagine Health
201 - 500 employees
Founded 1973
🤝 Non-profit
🤝 B2B
🔬 Science
Non-profit • B2B • Science
Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.
Clinical Reviewer, RN – Qualified Intellectual Disabilities
🕒 April 15
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Comagine Health
201 - 500 employees
Founded 1973
🤝 Non-profit
🤝 B2B
🔬 Science
Non-profit • B2B • Science
Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.
📋 Description
• Perform Clinical Review work and QIDP reviews • Apply Alabama Medicaid program criteria and guidelines • Complete reviews within timelines established by state and federal requirements • Consult with Physician Advisor/Consulting Physician for complex cases • Work with administrative support • Identify customer needs and respond timely • Attend Medicaid meetings, fair hearings, and legislative committee sessions as requested
🎯 Requirements
• BA/BS in Nursing • Active RN in Alabama • Minimum of 3 years of direct patient care (clinical) experience • Current, active, unrestricted RN license in Alabama • Experience with performing PA reviews • Long-term care experience including nursing home, ICF/IID, swing bed, PEC, and inpatient psychiatric facilities • Provider relations • Reporting skills
🏖️ Benefits
• Annual stipend for workspace enhancement • Better work-life balance • Remote work options
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