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Description The Post Acute Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
... Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in ... administration of pre-certifications, DME, and Home Health care equipment. The UM ... skills Working knowledge of MS..
... is in a Work At Home environment, provided you meet certain ... to work from your own home and no other location. You ... have a room in your..
... Strategy Pharmacist - Work At Home in Phoenix Arizona Description Responsibilities ... or Cable modem for a home office (Satellite internet service is NOT ... or work outside of..
... and Waste Investigator-- REMOTE/WORK AT HOME in Phoenix Arizona Description Humana ... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant..
... relationships with physicians, providers and healthcare systems in order to support ... Required Qualifications Bachelor's Degree in Healthcare, Business, or related field 3-5 ... 3-5 years of experience in..
Description The Care Manager, Telephonic Nurse 1 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... relationships with physicians, providers and healthcare systems in order to support ... Required Qualifications Bachelor's Degree in Healthcare, Business, related field Licensed Registered ... 3 years of experience in..
... Waste Investigator - Work At Home (Anywhere in the US) in ... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant..
... Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
... Nurse 2 will understand that healthcare business continues past the end ... ideal candidate will understand that healthcare business continues past the end ... Interqual guidelines Proficient with Microsoft..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
... years of clinical experience within Home Health field Previous experience in ... reviews/auditing or extensive experience in Home Health Comprehensive understanding of all ... Comprehensive understanding of all related..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
... Degree Familiarity with Agile methodologies Healthcare industry experience Masters degree Experience ... or work outside of their home. If progressed to offer, candidates ... state exemptions will be available...
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Provider Value exp.) Work at Home in Phoenix Arizona Description The ... a Bachelor's degree in Business,..