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Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
... 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Bridgeport Connecticut Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
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 ..
... This position will be the Clinical Charge Capture Specialist, reporting to the Senior Manager ... include the accurate establishment of clinical charges and billing code, researching ... billing, medical..
... the Ambulatory Medicine Leadership assumes clinical and administrative responsibilities for the ... Lung Disease Program supporting education, clinical practice, and quality improvement. Serves ... EEO/AA/Disability/Veteran Responsibilities 1. Provides advanced..
... 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..
... the Ambulatory Medicine Leadership assumes clinical and administrative responsibilities for the ... Cystic Fibrosis Program supporting education, clinical practice, and quality improvement. Serves ... EEO/AA/Disability/Veteran Responsibilities 1. Provides advanced..
... adherence to regulatory requirements for clinical practice, documentation and environment of care, 4) ... exceed established thresholds, and 5) clinical competency of nursing personnel in ... interventions. Reporting directly..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... the direction of the Medical Clinical Director and/or the Patient Services ... health care team members. Provides clinical leadership in activities of the ... nursing staff. EEO/AA/Disability/Veteran Responsibilities 1...
... 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..