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Description CenterWell Senior Primary Care and Conviva, subsidiaries of Humana Inc., are primary care medical group practices with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, ..
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Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
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 ..
Job Information Humana Home Health Aide, Full Time in Monroe North Carolina Description Home Health Aide 2 provides patients with assistance in activities in daily living. The Home Health Aide 2 ..
At Pilgrimu2019s,u00A0Safety Is A Condition, which means the safety of our team members comes first - always.We have implemented safety measures to prevent the spread of COVID-19. We are working to ..
POSITION SUMMARY: The LPN is responsible for direct care of employees of JBS under the direct supervision of the Occupational Health Manager.SAFETY IS A CONDITION:u00A0At JBS,u00A0Safety Is A Condition, which means ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Lancaster South Carolina Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Job Information Humana Baylor RN, Home Health in Monroe North Carolina Description The Baylor Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Lancaster South Carolina Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
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 Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
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 for Humana's Kentucky Medicaid Plan. The Utilization ..
Job Information Centerwell LPN, Home Health Per Diem in Monroe North Carolina As a Home Health LPN , you will: Provide professional nursing services under the direction of a RN in ..
Job Information Centerwell LPN Home Health Full Time in Monroe North Carolina As a Home Health LPN , you will: Provide professional nursing services under the direction of a RN in ..
... to you.Weu2019re currently seeking a LPN to join our amazing team.Details ... our amazing team.Details of the LPN opening:Anticipated start date: 03/07/2022Salary: $1,850.06 ... Range of Responsibilities of the..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Kindred at Home Licensed Practical Nurse, Home Health Full Time in Monroe North Carolina As a H ome Health LPN , you will: Provide professional nursing services under the ..