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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..
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 ..
Job Information Centerwell Occupational Therapist Home Health PRN in Kennebunk Maine ... in Kennebunk Maine As a Home Health Occupational Therapist , you ... evaluates Occupational Therapy Assistant and Home..
Job Information Humana Medicare Appeals and Grievance Medical Director in Portland Maine Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... 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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana ... 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 Portland Maine Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Save job Refer friends Job description Commute time Make an Impact on our Geriatric Community n Our team is growing, and we're looking for top caliber Physical Therapists to join us ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Portland Maine Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... 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 Portland Maine Description Responsibilities ... appropriate state Must have Board Certification Clinical experience in managed care ... Preferred Qualifications Board Certified Pharmacotherapy..
Job Information Humana UM Medical Director - Conviva in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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, ..
PHYSICAL THERAPIST - PT Job Locations US-ME-PORTLAND | US-ME-PORTLAND | US-ME-BIDDEFORD ID 2022-58504 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company Rehab Without Walls NeuroSolutions Overview Our ..
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 ..
LICENSED CLINICAL SOCIAL WORKER - LCSW Job Locations US-ME-BIDDEFORD | US-ME-PORTLAND | US-ME-LEWISTON ID 2022-58500 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company Rehab Without Walls NeuroSolutions ..
Save Refer friends Job description Commute time Make an Impact on our Geriatric Community n Our team is growing, and we're looking for top caliber Physical Therapists to join us in ..
Description Job Description Summary 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 ..
... 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..
