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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job ID 21000EZOAvailable Openings 1 PURPOSE AND SCOPE: Supports FMCNA’s mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions ..
... actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. ... in the absence on the Clinical Manager ensuring compliance with applicable ... efficient, and effective matter. With..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... skills to support the coordination, documentation and communication of medical services ... Utilization Management Nurse 2 uses..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..
Description The RN Clinical team is looking for a ... researching and reviewing medical record documentation for incorrect billing and coding. ... will be someone who applies clinical and coding..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care ... same as appropriate; Keeps accurate documentation of patients treatment, activity and ... interventions; uses appropriate methods of..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Job Description SIGNON BONUS $5,000 FOR EXTERNAL APPLICANTS. Requirement to reside in New York, Long Island or within commuting distance of Long Island. 50-75% of expected travel throughout Long Island. Working ..
... which lie within the nurse specialist's scope of practice, by using ... of patients and/or families through clinical judgment of evaluated data. * ... assessment and diagnostic studies, interprets..
Job Code 86888 Job Description rJob Description r Facilitates patient admission, discharge, intra-hospital and inter-facility transfer processes through clinical triage. Acts as the primary liaison between physicians, hospitals and other care ..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
