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Description Humana's recently created Clinical Resource Team is looking to grow the team with a couple Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
... record documentation, and billing for services rendered, is complete, compliant and ... Auditor 2 validates and interprets inpatient hospital medical record documentation to ... documentation to ensure billing for..
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 ..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
If you have passion to dramatically improve patients’ lives and enjoy working in a flexible, non-traditional, and progressive setting with other amazing people then look no further. Our practice has inpatient ..
Join Bayhealth Medical Center at our Kent Campus Hospital in the open medical ICU. The unit is currently covered by a private group of 5 physicians and one APC. The practice ..
Description The Director, Health Services Nursing serves as the strategic ... Humana Behavioral Health Utilization Management Inpatient services - including all clinical (inpatient and some OP medical necessity ... and..
... and hold an unrestricted eNLC/multi-state RN licensure Humana is seeking a ... experience. Coordinate community care and services as deemed appropriate. Understand clinical ... degree in Nursing (B.S.N) Active..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... Required Qualifications Licensed Registered Nurse..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
... documentation and communication of medical services and/or benefit administration determinations. The ... most appropriate treatment, care or services for members. Coordinates and communicates ... job description Experience in acute..
Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..