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Description The Utilization Management Nurse 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 are ..
... Humana implements its multi-year Enterprise Clinical Operating Model (ECOM) strategy there ... learning & decision-making across Humana’s clinical operations. The vision for the ... changes across Humana’s portfolio of..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... Information Humana Utilization Management Administration Coordinator in Fairmont Minnesota Description The ... Minnesota Description The UM Administration Coordinator 2 contributes to administration of ... hiring for a UM Administration..
... kidney care vendors Responsible for Clinical Audits throughout the year, as ... coordination between vendors and Humana clinical programs Develops into a Kidney ... for Processing member & provider..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The IntelligentRx Implementation Professional 2 supports new and existing connections for the IntelligentRx Real-Time Benefit tool with external technology vendors, as well as, supports new and existing connections for the ..