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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 ..
... 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..
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 ..
... Posting: RN - Vascular Access Specialist (PRN) Employment Type: PRN Location: ... Summary Individual must possess strong clinical skills and the ability to ... Physicians for VAD orders. Educate..
... 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..
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, ..
... The Director is responsible for clinical leadership and the operational oversight ... care delivery models, evidenced based clinical and professional standards and policies, ... Coordinate and ensure accurate patient..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Rogers Arkansas Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... well as audit coding and documentation activities to confirm adherence to ... to improve coding, billing, and documentation compliance Assist with compliance investigations ... deliver educational materials to help..
