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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..
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 ..
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, ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
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 ..
... 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..
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 ..