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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 ..
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 ..
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 ..
... operations in clinical coordination and communication with referral sources. Works under ... Develops/maintains contact with key physicians, hospital, skilled nursing or rehabilitation facility ... for home care. Ensures effective..
... monitoring of Humana's medical coding communication efforts to promote accurate and ... (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCS-P - Certified Coding ... (AHIMA) CCS-P - Certified Coding..
Life at aptihealth Backed by $70M in funding from world-class investors including Takeda Digital Ventures, Pivotal Life Sciences, and Vista, the aptihealth team is comprised of healthcare, data science and technology ..
Job Information Humana Medical Director - Florida Medicaid in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Medical Director - S. Florida in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Care Team Medical Director in Albany New York Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for ..
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, ..
Job Information Humana Medical Director - National Medicare Team in Albany New York Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Job Information Humana Manager, Market Finance in Albany New York Description The Manager, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The ..
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and ..
Job Information Humana UM Medical Director - Conviva in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... Margaretu2019s Center placements. Works with hospital discharge planners, case managers, residents/families, ... designated staff member for strengthening communication and marketing services to the community Maintains ... assessments and strategize..