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Description Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the member's home. YHA ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Care Team Medical Director in Birmingham Alabama Description ... Alabama Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
... and documents in the patient medical record, adjusts or modifies the ... Non-FKC dialysis providers and appropriate hospital personnel as needed to provide ... received and entered in the..
... Care Technician (PCT) at Fresenius Medical Care, you play a vital ... that sets us apart.At Fresenius Medical Care, you will truly make ... patient care experience in a..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Posted: 27-Feb-22 Location: Birmingham, Alabama Salary: Open Categories: General Nursing Nursing Internal Number: 2205002587 Citizens Baptist Medical Center: Located in Talladega, this facility is equipped with 122 beds. Services offered include ..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
... Internal Number: 2205002699 Brookwood Baptist Medical Center: Located in Birmingham, this ... patient care functions/services within the hospital organization. The role will assume ... skills. Proven leadership ability and..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Specialty: RN-Medical Surgical -Travel Job Description Registered ... this specialty practice primarily on hospital units and care for adult ... with a wide variety of medical problems and diseases or..
Job Information Humana UM Medical Director - Conviva in Birmingham ... in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
POSITION FEATURES:PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance ..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
... Stars and Risk Adjustment National Medical Director in Birmingham Alabama Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
... brand for a primary care medical group practice with centers open ... all. Responsibilities As a Regional Medical Director you will plan, organize, ... care services offered in the..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
