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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant..
... Information Humana Licensed Behavioral Health Professional - Quality Audit in Charleston ... Licensed Behavioral Health Quality Audit Professional. This position ensures mandatory reporting is completed. Conducts and summarizes compliance..
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Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Charleston West ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
Job Information Humana Fraud and Waste Investigator - Work At ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on solving problems and thinking..
... health care company with deep and multi-faceted physician and provider relationships, the Office of ... domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business leaders to ... physician/clinician voice..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste,..
... Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible for ... responsible for the..
Description The Data and Reporting Professional II generates ad hoc reports ... II generates ad hoc reports and regular datasets or report information ... for end-users using system tools and..
