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... current industry trends. Experienced leadership required for multi-faceted environment; role primarily ... treatments in collaboration with the Medical Director. Administers medications as prescribed ... (as appropriate), and document appropriate..
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Job Information Humana Senior Project Manager - Medical Records Management Team in San ... Texas Description The Senior Project Manager manages all aspects of a ... within budget. The Senior..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work...
... ECM organization is seeking a Medical Director of Clinical Informatics. This ... positively impact trend including member experience, health outcomes and costs: Understand ... Understand the member/patient & provider..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
... as patients discharged from acute facilities, to achieve high quality care. ... to create an exceptional patient experience leveraging excellent customer service skills ... patients with acute and chronic..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... factors. Responsibilities The Behavioral Health Medical Director..
... for the PCO University. Monitor medical performance and provide guidance to ... a portion of the time. Required Qualifications Board Certified MD/DO in ... of training Minimum 5 years'..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Regional Manager, Clinic/Center Administration plans and directs ... a clinical setting. The Regional Manager, Clinic/Center Administration requires a solid ... industry. The Role The Regional Manager, Clinic/Center Administration..
... Stars and Risk Adjustment National Medical Director in San Antonio Texas ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
... work.(sm) The ED RN Case Manager monitors real-time Admit, Discharge, Transfer ... network and/or out of network facilities Interacts and effectively communicates with ... as directed The ED Case..
