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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 Minneapolis Minnesota Description ... Minnesota Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana UM Medical Director - Conviva in Minneapolis ... in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... 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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Minneapolis Minnesota 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 ..
... 3x12-Hour (19:00 - 07:00)Job Details Hospital c-sections, D&Cs, laparoscopic tubals, ectopics ... 24 hour call shifts, in hospital coverage, Second facility: low volume, ... positionsAbout Us: Since 1990, All..
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..
... Stars and Risk Adjustment National Medical Director in Minneapolis Minnesota Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
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 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 ID** 2022-159988 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..
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 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..
