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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 ..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization..
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 ..
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 ..
... temporary catheters. The Renal Care Coordinator ensures every late stage CKD ... in the interpretation of summary clinical data and its use in ... the collection and analysis of..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... some interpretation. The Care Coach Coordinator assesses and evaluates member's needs ... Required Qualifications The Care Coach..
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Job Information Humana Senior Product Management Professional / Release Train Engineer in Washington District Of Columbia Description The Senior Product Management Professional / Release Train Engineer must be able to lead, ..
Description The UM Administration Coordinator contributes to administration of utilization ... utilization management. The UM Administration Coordinator performs varied activities and moderately ... semi-routine assignments. The UM Administration Coordinator is..
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 Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social Worker (LMSW-ACP), Clinical Psychologist with; Clinical experience in: pediatrics, behavioral health, ... of 1..
... (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... Ensure audits are entered for..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Job Summary The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The ..
