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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 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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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..
... documentation and communication of medical services and/or benefit administration determinations. The ... all utilization management functions, including inpatient admissions, concurrent review, prior authorization ... delivery of high-quality utilization management..
... 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..
... 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 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 ..
... Horizons in Louisiana is seeking RN Managers of Care Management who ... and culturally-competent delivery of care, services, and supports in compliance with ... delivery of high-quality care management..
... in Louisiana is seeking a RN, Manager of Care Management to ... and culturally-competent delivery of care, services, and supports in compliance with ... delivery of high-quality case management..
... most appropriate treatment, care or services for members. He/she will lead ... correcting over- or under-utilization of services. Will directly lead multiple managers ... highly specialized professional associates. Oversee..
Job Information Humana RN Primary Care Coordinator/Case Manager - ... health education and value-added, well-being services at the centers and around ... welcoming environment for all. The RN Primary Care..
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 ..
... and proposed medical care and services against established CMS Coverage Guidelines ... review on members during an inpatient hospital admission. You will collaborate ... and proposed medical care and..
... 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..
