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Description The Inbound Contacts Representative 1 represents the company by addressing ... inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a ... information such as..
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... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes..
... Senior Quality Compliance Professional completes medical records reviews for Coordination of Care ... corrective actions as needed. Reviews medical records for supplemental data and enter ... South Carolina Medicaid..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana UM Medical Director - Conviva in Lancaster ... Lancaster South Carolina Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... Health Full Time (Patient Services Coordinator) in Monroe North Carolina The ... North Carolina The Patient Services Coordinator is directly responsible for scheduling ... Case Manager, and route to..
... AVP to lead its Provider Support team and associate's responsibilities. HQRI ... and Improvement (HQRI) relies on medical background and industry-standard clinical / ... consistent across the enterprise to..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... this role are based on..
Job Information Humana Referrals Coordinator 2 in Lancaster South Carolina ... South Carolina Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2..
... utilizes clinical nursing skills to support the coordination, documentation and communication ... coordination, documentation and communication of medical services and/or benefit administration determinations ... care, skilled or rehabilitation setting..
Description The Medical Coding Coordinator 3 extracts clinical information from ... information from a variety of medical records and assigns appropriate procedural terminology ... assigns appropriate procedural terminology and medical..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... activities and moderately complex administrative/operational/customer support assignments...
Description The Care Management Support Assistant 2 contributes to administration ... of care management. Provides non-clinical support to the assessment and evaluation ... of members. The Care Management Support Assistant..
Job Information Centerwell Patient Services Coordinator in Lancaster South Carolina The ... South Carolina The Patient Services Coordinator is directly responsible for scheduling ... Case Manager, and route to Medical..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure ... stage for final distribution all medical records received into the Medical Record Review Department. Analyze..
Description The Medical Coding Coordinator 2 will process and apply ... based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical records to determine if the appropriate .....
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Carolina Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... Stars and Risk Adjustment National Medical Director in Lancaster South Carolina ... individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, ... this role..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... related field with - one..
