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Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Naples Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Naples Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Naples Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... for managing the day-to-day branch operations to ensure the following: operational ... plans, implements, analyzes and organizes operations for the Branch. Responsible for ... and support to the Clinical..
Job ID 21000LTLAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
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 ..
... Kindred at Home RN Clinical Manager in Estero Florida The Clinical ... in Estero Florida The Clinical Manager coordinates and oversees all direct ... implements, analyzes, and organizes clinical..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Naples Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... CCS, CRC, RHIA or RHIT) Healthcare experience within a fraud investigations ... well as solid knowledge of healthcare payment methodologies Proficient in building ... job as we are a..
... patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All ... the direction of the Program Manager (PM) and with guidance from ... indicated and notifies inpatient program..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Naples Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 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 ..
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 and PCS) to patient records. 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 ..
