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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
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Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... call center type experience Prior medical knowledge Ability..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Job Information Humana Manager, Utilization Management RN - Remote ... Charleston West Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Charleston West Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in ... Charleston West Virginia Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charleston ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... necessary record components and requests medical..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... Finance M&A Integration Senior Project Manager in Charleston West Virginia Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... Charleston West Virginia Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana Telephonic Care Manager in Charleston West Virginia Description ... Virginia Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Job Information Humana Senior Project Manager -- Remote in Charleston West ... Virginia Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
