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Description The Risk Adjustment Representative 2 (Record Retrieval Specialist) works with regional providers to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted to ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
... Information Centerwell Patient Care Coordinator, Home Health in Liverpool New York ... to determine the need/eligibility for home care. Develop/maintain contact with key ... forms to support diagnosis and..
... 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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Albany New York Description ... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant..
... 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...
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 ..
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 ..
... from the largest US nursing home company in the 60's, to ... in the country. Responsibilities The Healthcare Strategy team supports Humana's Retail ... business leaders Role Desirables Prior..
... 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..
... candidates without UM experience and/or Home Health clinical experience who have ... member PHI / HIPAA information Work-At-Home Requirements WAH requirements: Must have ... or cable modem for a..
... 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..
... a publicly traded, Fortune 50 healthcare company with a long history ... from the largest US nursing home company in the 60's, to ... in the country. Responsibilities The..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Provider Value exp.) Work at Home in Albany New York Description ... a Bachelor's degree in Business,..
... 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..
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 ..
... Strategy Pharmacist - Work At Home in Albany New York Description ... or Cable modem for a home office (Satellite internet service is NOT ... or work outside of..
