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Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. ..
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TRS Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Hurricane, WV. Shift: 3x12 hr nights Start Date: 04/07/2022 Duration: 13 weeks Pay: $2666.16/Week ..
Job Information Centerwell Licensed Practical Nurse Home Health Full Time in Charleston West Virginia As a H ome Health LPN , you will: Provide professional nursing services under the direction of ..
... reviews for requested services using clinical judgment and refers to internal ... processes. Enters and maintains pertinent clinical information in various medical management ... disciplinary action. 3 years of..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Charleston West Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Practice opportunity with easy access to Cincinnati,OH. Excellent compensation package up to 75% of MGMA. Outpatient practice with shared weekend call of 1 in 3. Practice in a state of the ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
Immediate opportunity! Well-established, community oriented practice actively seeking an BC/BE OB/GYN to join their well respected group due to the retirement of a tenured physician. Located in the heart of one ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The 'voice of the provider' is key to Humana's integrated care delivery strategy. As Humana evolves from being recognized as a traditional payer to a health care company with deep ..
Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..
Seeking a provider to practice in an outpatient clinic location that is part of a multi-specialty physician group made up of over 80 providers. Enjoy a 2-year guaranteed base salary of ..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... reviews for requested services using clinical judgment and refers to internal ... processes. Enters and maintains pertinent..
