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Description SeniorBridge: Together Changing Lives. SeniorBridge is Humana's wholly owned home care business acquired in 2012. At SeniorBridge, we're passionate about helping families and loved ones find solutions that make life ..
Description The Quality Compliance Professional 2 completes annual quality reviews and ... reviews and research. The Quality Compliance Professional 2 work assignments are varied and ... of action. Responsibilities The..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Learning Facilitation Professional 1 conducts or facilitates training ... are hiring in multiple locations: 2) Region 8 Sarasota, De-Soto, Charlotte, ... travel throughout The Learning Facilitation Professional 1..
... quality of patient care, regulatory compliance, support of business development & ... fire and safety regulations in compliance with the company policies. Conducts ... Current RN License. Minimum of..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
... Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in ... Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting..
... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in compliance with Medicare regulations. Coordinates communication ... policies and procedures to ensure..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex ... variable factors. Responsibilities The Senior..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description The Grievances & Appeals Professional 2 manages client medical denials by ... warranted. The Grievances & Appeals Professional 2 work assignments are varied and ... Responsibilities The Grievances &..
... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..
Job Information Kindred at Home Medical Records Specialist Home Health Full Time in Estero Florida The primary function of the Medical Records Specialist is to provide clerical support for the Medical ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
