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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 ..
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... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
Description The Clinical Pharmacy Advisor lead, overseeing Humana ... team that helps translate the clinical into financial. The goals is ... key metrics and trend. Support clinical research integration activities..
Description The Clinical Pharmacy Lead for Pharmacy trend ... team that helps translate the clinical into financial to ensure Humana ... team that helps translate the clinical into financial to..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... innovation and strategies which optimize clinical outcomes, member experience and total ... will lead development of our clinical infusion strategy focused on our ... collaborate closely with the current..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Portland Maine ... Maine Description The Senior Pharmacy Clinical Advisor will be part of ... to the development of..
... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
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 ..
Description The Senior Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and analytical..
LICENSED CLINICAL SOCIAL WORKER - LCSW Job Locations US-ME-BIDDEFORD | US-ME-PORTLAND | US-ME-LEWISTON ID 2022-58500 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company Rehab Without Walls NeuroSolutions ..
$5,000 Sign-on Bonus - Limited Time Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... strategies. Responsibilities The Director, Pharmacy Clinical Formulary..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Portland ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Portland Maine Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
Job Information Humana Clinical Pharmacy Lead, Remote in Portland ... team that helps translate the clinical into financial to ensure Humana ... to inform the financial and clinical significance of..