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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
Description Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by ..
... Join Genesis as a Unit Manager/Director - RN where within an ... values and policies of Genesis HealthCare and in accordance with accepted ... action when necessary. Why Genesis?Genesis..
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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Huntington West Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
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 Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professional utilizes behavioral health knowledge and ..
... realization of high-quality and cost-effective healthcare.*Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis HealthCare is a leading provider of ... is a leading provider 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). ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Full time Restorative Nurse at Teays Valley Center in Hurricane! 6K hiring bonus! RN required. Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care ..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Ironton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
... at Home Registered Nurse Case Manager Full Time in Huntington West ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
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 ..