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Description The Lead Medical Director relies on medical background and reviews health claims. ... reviews health claims. The Lead Medical Director requires a solid understanding ... across department(s). Responsibilities The..
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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 Green Bay Wisconsin ... Wisconsin Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
... with patients, families, physicians, and hospital staff members.Benefits Day 1 Health ... $1500 Referral bonus programAbout UsAll Medical Personnel is a national leader in healthcare staffing recognized by .....
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 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 ..
... 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..
Job Information Humana UM Medical Director - Conviva in Green ... Green Bay Wisconsin Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... and documents in the patient medical record, makes adjustments and modifications ... as prescribed and documents appropriate medical justification and effectiveness.Initiates and assists ... specialized nursing care instruction to..
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..
... care needs, administer medicine, use medical equipment, perform minor medical operations, and advise patients and ... with patients, families, physicians, and hospital staff members.Benefits Day 1 Health ... $1500..
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..
Specialty: RN-Medical Surgical/Tele-TravelJob Description Registered nurses in ... this specialty practice primarily on hospital units and care for adult ... with a wide variety of medical problems and diseases or..
... 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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
... coordinates care of surgical and medical bariatric patients, serving as a ... BayCare Clinic & Aurora BayCare Medical Center adopted guidelines. Essential Functions: ... in collaboration with providers 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..
... 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..
... Stars and Risk Adjustment National Medical Director in Green Bay Wisconsin ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
