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... clinical scenarios predominantly arise from inpatient or post-acute care environments. Has ... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors..
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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 ..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... Auditor 2 validates and interprets inpatient hospital medical record documentation to ... conducting chart reviews of hospital..
... clinical scenarios predominantly arise from inpatient, post-acute care environments, outpatient service ... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors..
... advanced and highly specialized administrative/operational/customer support duties that require independent initiative ... assists the ADS Implementation & Support Supervisor (ADS ISS) with maintaining ... with maintaining product files in..
Description Job Summary The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The ..
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 The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..