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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..
... professional to lead an interactive team with broad exposure and scope ... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding .....
... Evaluate the element of the medical record for diagnosis code selection ... status at the time of care Query providers to obtain additional ... Query providers to obtain additional..
... sent to the member's primary care provider to be included in ... be included in the patient medical records and support the provider ... the provider in providing comprehensive..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... and abuse in the health care industry and its impacts on ... that report to this Associate director..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
... Colorado Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and improve the value of care..
... Certified Nurse Aide Reports to: Director of Nursing/Supervising RN Essential Duties ... output. 4. Provides daily routine care such as bathing, dressing, feeding, ... as bathing, dressing, feeding, hair..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior Primary Care..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed care and PBM knowledge to develop, ... wholly owned hospice and palliative..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
... wholly owned hospice and palliative care pharmacy business acquired by Humana ... for the hospice and palliative care sectors. Serving over 450 customers ... reduce pharmacy costs, improve patient..
