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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:..
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Job Information Humana Care Team Medical Director in Louisville Kentucky Description ... Kentucky Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana UM Medical Director - Conviva in Louisville ... in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... 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..
... Registered Nurse (RN) with Fresenius Medical Care, you will be part ... that sets us apart.At Fresenius Medical Care, you will truly make ... and documents in the patient..
... 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 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..
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..
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..
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 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..
Job Information Humana Medical Records Retrieval Specialist - Remote ... in Louisville Kentucky Description The Medical Records Retrieval Specialist (Risk Adjustment ... within the region and scans medical records into..
... Stars and Risk Adjustment National Medical Director in Louisville Kentucky Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
Job Information Centerwell Medical Front Office Specialist - Outer ... industry as a whole. The Medical Front Office Specialist contributes to ... dedicated, compassionate, and experienced - Medical Front Office..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice Medical staff leadership experience for a ... practice, physician practice management organization,..
... and documents in the patient medical record makes adjustments or modifications ... as indicated and notifies Team Leader Charge Nurse Supervisor or Physician ... approved algorithm(s) and documents appropriate..
