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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 ..
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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 ..
... Remote, must have a Compact RN state license Humana is seeking ... recently discharged from an acute inpatient stay providing them with information, ... medication adherence, and coordination of..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly owned subsidiary of Humana, ..
... 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 The Supervisor, Health Services Nursing serves as the strategic ... Physical and Behavioral Health (outpatient, inpatient and post-acute) and pharmacy decisions, ... clinical capabilities. The Supervisor, Health Services Nursing..
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 RN Telephonic Transplant Care Manager-WAH in ... receptor T cell (CAR-T) therapy services Guide members by providing information ... design and identify potentially unnecessary services and care..
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 ..
Description The Manager, Health Services Nursing serves as the strategic leader for utilization management - including all clinical (outpatient, inpatient and post-acute) and pharmacy decisions, as well as serving as a ..
... 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 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 ..
