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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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Omaha Nebraska Description Humana ... or work outside of their home. If progressed to offer, you ... exemptions are available. Work at..
... 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..
Job Information Humana Home Health LPN/LVN in Omaha Nebraska ... Omaha Nebraska Description Responsibilities The Home Health Nursing, LPN/LVN enables patients ... patients and their families. The Home Health Nursing,..
Job Information Humana Medical Director - Florida Medicaid in Omaha Nebraska 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 Omaha Nebraska Description Responsibilities ... appropriate state Must have Board Certification Clinical experience in managed care ... Preferred Qualifications Board Certified Pharmacotherapy..
... 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..
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 ..
... 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..
... towards becoming a Pharmacy Technician Certification Board (PTCB) Certified Pharmacy Technician ... Personal DevelopmentEarns and maintains PTCB certification through the designated PTCB training ... training program and/or state required..
Job Information Humana UM Medical Director - Conviva in Omaha Nebraska Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
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, ..
... 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 Centerwell Occupational Therapist Home Health Full Time in Omaha ... in Omaha Nebraska As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant and Home..
Job Information Humana Medical Director - National Medicare Team in Omaha Nebraska Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Omaha Nebraska Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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 Humana Medicare Appeals and Grievance Medical Director in Omaha Nebraska Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..