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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:..
Job Information Humana Care Team Medical Director in Davenport Iowa Description ... Iowa Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
... 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..
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 ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Davenport Iowa Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
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 ..
Job Information Humana Care Coordinator in Rock Island Illinois Description The Care Coach Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
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..
... Stars and Risk Adjustment National Medical Director in Davenport Iowa Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
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..
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..
Job Information Humana DoD SkillBridge, Veteran, Military Spouse Illinois Care Coordinator in Rock Island Illinois Description The Field Care Coach performs varied services to evaluate members needs to facilitate appropriate health ..
**Bring your talents to a leader in medical technology and healthcare solutions.** **Rooted ... history of mission-driven innovation, our medical technologies** **open doors.** **We support ... Performs checks/interrogations of all..
Job Information Humana DoD SkillBridge Military, Veteran, Military Spouse Illinois Care Coordinator in Rock Island Illinois Description The Field Care Coach performs varied services to evaluate members needs to facilitate appropriate ..
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 relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Job Information Humana UM Medical Director - Conviva in Davenport ... in Davenport Iowa Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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..
