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... improving the quality of care and outcomes while managing costs for ... health needs of the under-served and advises executives to develop functional ... of Health (Food insecurity, Transportation..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to..
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the ... works within thorough, prescribed guidelines and procedures; uses independent..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the..
... of healthcare, with leading businesses and products in diagnostics, medical devices, ... in diagnostics, medical devices, nutritionals, and branded generic medicines. Our 109,000 ... purpose is to restore health..
... apply to rehires) Location: All clinical positions are located on site ... mission to make healthcare simpler and more effective. We fight to ... every single requirement. The Registered..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Cincinnati Ohio ... Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive .....