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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 Dover Delaware Description ... Delaware Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you ..
... 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..
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 Dover Delaware Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
... required Minimum 3-5 years current Medical Technologist experience - RequiredBachelor Degree ... that include:nn Competitive pay ratesn Medical, Dental, Visionn 401(k) and Flex ... AMN Healthcare company, is the..
Wentworth-Douglass Hospital, an affiliate of Mass General ... cutting-edge healthcare and research. Wentworth-Douglass Hospital remains among the nation's top ... the eighth consecutive year. Wentworth-Douglass Hospital is renowned as one..
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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
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 actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
... home care aides. Manage complex medical issues Collaborate with other professionals ... with patients, families, physicians, and hospital staff members.Benefits Day 1 Health ... $1500 Referral bonus programAbout UsAll..
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..
... VP, Health Services relies on medical background and reviews health claims. ... They will rely on their medical background, health plan expertise and ... VP, Health Services will: Provide..
Job Information Humana UM Medical Director - Conviva in Dover ... in Dover Delaware Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... ManagementLocation:Shift:Job Details: Responsible for coordinating medical care, and matching patient needs ... experience in an Inpatient/Acute Care Hospital Setting - Required Experience with ... $1500 Referral bonus programAbout UsAll..
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 ..