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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... and patient safety. While this associate receives inbound calls, with limited ... and patient safety. While this associate receives inbound calls, up to ... information such as pharmacy; plan..
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. CPT)..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... Auditor 2 validates and interprets medical documentation to ensure capture of ... Health field Previous experience in..
... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
... brand for a primary care medical group practice with centers open ... lifelong well-being by giving our associate fresh perspective, new insights, and ... the Medicare population Proficient with..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements ..
... specialty programs, formulary strategies and medical strategies Outreach to oncology providers ... sigma experience and/or certification Multi-lingual (Spanish preferred) Understanding of medical claims, billing, and associated platforms ... first..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... OR Provide documentation for a medical or religious exemption consideration. This ... and intangible benefits such as..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
... A Telephonic Nurse 2 provides medical guidance, assists with access to ... assigned. Provide accurate and appropriate medical advice utilizing approved medical resources Utilizing available resources and ... fluently..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Ridgeland Mississippi Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... OR Provide documentation for a medical or religious exemption consideration. This ... oversight of their team this..
Job Information Humana Oncology Market Director in Ridgeland Mississippi Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
