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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..
Job Information Humana Medical Director - Florida Medicaid in Meridian Idaho Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... Strategy Pharmacist - Work At Home in Meridian Idaho Description Responsibilities ... 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 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 Lewiston ... in Lewiston Idaho As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant..
Job Information Humana UM Medical Director - Conviva in Meridian Idaho Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
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 ..
... Required Qualifications AAPC or AHIMA certification required (CPC-A, CPC, CCS, CCA) ... in good standing with the certification governing body Must be willing ... and some overtime Work At..
... and Waste Investigator-- REMOTE/WORK AT HOME in Meridian Idaho Description Humana ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
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 ..
... 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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Meridian Idaho Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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, ..
... 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..
... 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..
Job Information Humana Medical Director - National Medicare Team in Meridian Idaho Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
WalgreensnJob DescriptionIn accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Meridian Idaho Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
