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Job Information Humana Care Team Medical Director in Las Vegas Nevada Description ... Las Vegas Nevada Description The Care Team Medical Director is responsible for improving the ... for improving..
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..
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 Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex .....
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..
Description The Medical Director relies on fundamentals of CMS ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
... dialysis services and outstanding patient care to the community. Participates in ... of customer service, quality patient care, marketing of FMS and responsible ... provision of outstanding quality patient..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... Government Business's (HGB) Behavioral..
... Stars and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..
... life fully. At the Primary Care Organization, a division of Humana, ... teams under the Humana Primary Care Organization (PCO). Collaboratively with market ... leadership, you will train primary..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
National Medical Director Utilization Management – Quality Management ... non-clinical activities that impact health care quality cost and outcomes.rnIdentifies and ... various functions.rnResponsible for corporate and medical policy interpretation, recommendation,..
