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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. ... appropriate criteria to make a..
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 Newport ... Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... 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..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Island Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
... visiting the program, to provide support to the clinical team throughout ... the program to determine where support is needed. Provide additional clinical ... Provide additional clinical and administrative..
... utilizes clinical nursing skills to support the coordination, documentation and communication ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... of Utilization Management nurses and..
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..
... supervisory team. Providing guidance and support to 988 Crisis Counselors throughout ... platform, resource databases, electronic health records, etc.). Ability to provide strengths-based ... BA in human services required...
... 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..
... case manager will offer guidance, support, and coordination of the beneficiary's ... implement, monitor, and evaluate the medical services required to meet the ... and to enhance quality of..
... primary point of contact and coordinator for the beneficiary for all ... coordinate, implement, monitor, and evaluate medical / behavioral health services required ... Provide telephonic care guidance and..
... 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..
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 Newport Rhode Island ... individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, ... this role..
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 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 .....
... 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..
... 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..
... within the Medicaid line of business. Responsibilities The Behavioral Health Quality ... for the Medicaid line of business at the national level, and ... Medicaid markets. Provide ongoing wrap-around..
