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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..
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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..
... 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..
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 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..
... 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 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,..
