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... guidelines/procedures. Job Overview Humana At Home is a division of Humana ... Care Managers are work at home associates, working from a dedicated ... associates, working from a dedicated..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... Qualifications AAPC or AHIMA coding certification required; CPC, CPC-A, or CCS ... in good standing with the certification governing body Effective written and ... is in a Work At..
... of the Patient Centered Medical Home (PCMH RN only). Track and ... of New Mexico CPR /BLS Certification or must obtain within 30 ... ACLS and BAC (Basic Arrhythmia..
Registered Nurse-Pre-Anesthesia - Full-time Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in the ambulatory ..
... and Waste Investigator-- REMOTE/WORK AT HOME in Albuquerque New Mexico Description ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
... Waste Investigator - 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 The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
RN - Pre-Anesthesia Clinic - Part-Time Department: Surgical Specialty Clinics Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in ..
Registered Nurse-OP Infusion Therapy Clinic (Full-time) Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in ..
Registered Nurse - Outpatient - Part-time Department: Dermatology Clinic 1021 Med Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process ..
... degree Current and ongoing board certification in an approved ABMS Medical ... Lead Medical Director Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work..
... Strategy Pharmacist - Work At Home in Albuquerque New Mexico Description ... appropriate state Must have Board Certification Clinical experience in managed care ... Preferred Qualifications Board Certified Pharmacotherapy..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... American Board of Medical Specialty certification is psychiatry Preferred Qualifications Experience ... and/or special projects. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work..
Registered Nurse -Outpatient - Full-time Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in the ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Job Information Kindred at Home Occupational Therapist Home Health Full Time in Albuquerque ... Albuquerque New Mexico As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant..
Infusion RN - PRN Department: Medical Specialty Clinic Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in the ambulatory ..
RN - Outpatient - Full-Time Department: Surgical Specialty Clinics Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide safe, direct patient care utilizing the nursing process in the ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..