Inpatient Support Jobs in Portsmouth

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual ... you should strongly consider the Inpatient Coding Auditor (MSDRG/APDRG) - Outcomes ... Team opportunity with Humana. The Inpatient Medical Coding..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US ... you should strongly consider the Inpatient Coding Auditor (MSDRG/ APDRG) - ... Team opportunity with Humana. The Inpatient Medical Coding..

... clinical scenarios predominantly arise from inpatient or post-acute care environments. There ... facilities, or community groups to support regional market care facilitation and ... or care management. Medical Directors..

Position: RN Case ManagementLocation:Shift:­Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... 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..

... 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..

... clinical scenarios arise from outpatient, inpatient or post-acute care environments. The ... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors..

... 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..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

... 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..

... 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..

Job Information Humana Medicare Appeals and Grievance Medical Director in Portsmouth New Hampshire Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

... 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..

Description The Weekend Telephonic 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 ..

... 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..

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 Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... authorization and retrospective reviews for inpatient and outpatient services to ensure ... clinical scenarios predominantly arise from inpatient, post-acute care environments, outpatient service ... facilities, or community groups to..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

... 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..