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... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... degree 5 years of direct clinical patient care experience post residency ... health insurance, other healthcare providers,..
... assignments. Required 5 years of clinical experience A current and unrestricted ... with 5 years of established clinical experience Knowledge of the managed ... interaction, etc. Internal Medicine, Family..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... degree 5 years of direct..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... Essential Functions and Responsibilities Lead..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... prepare the Behavioral Health( BH) Clinical Team with the tools necessary ... authorizations, and referrals not requiring clinical review Appropriately route cases needing ... review Appropriately route cases needing..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Honolulu Hawaii Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... managed care, and patient centered clinical programs with a focus on ... design to develop patient centered..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Honolulu Hawaii Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Functions, Duties, Responsibilities and Position Qualifications: Summary Under supervision of the Pathologist, the Histology Assistant, performs tasks to support the pathology technical staff in the areas of specimen procurement, processing, ..
... under direct supervision, in the practice of pharmacy. Assists the pharmacist ... the pharmacist, assist in the practice of pharmacy, in accordance with ... drugs.nMay assist pharmacist in administering..
... The Medical Director relies on clinical background and reviews Medicare drug ... Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors ... degree 5 years of direct..
Job Description Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. ..
... 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Honolulu Hawaii Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Adventist Health Castle (AHCS), in beautiful Kailua is assisting a small, established independent Primary Care practice, to recruit a Family Medicine Physician to join their team. This is a part-time opportunity ..