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Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
Job Location: Fayetteville, AR Job Type: Full Time Department : Women & Infants Surgical Services Shift : Monday - Friday Job Posting: Unit Manager (RN): Women`s Surgical Services Employment Type: Full ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Rogers Arkansas Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Rogers Arkansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Rogers Arkansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
... Friday Job Posting: Coding Specialist: Compliance Analyst Employment Type: Full Time ... the Medical Risk Adjustment and Compliance Analyst reports to the Manager of Profee Coding and Practice .....
... Information Humana Medicaid Associate Director, Compliance Nursing in Rogers Arkansas Description ... Arkansas Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... Posting: Medical Risk Adjustment & Compliance Analyst: Coding Employment Type: Full ... the Medical Risk Adjustment and Compliance Analyst reports to the Manager of Profee Coding and Practice .....
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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 ..
... Friday Job Posting: Inpatient Coding Manager (Monday - Friday) Employment Type: ... to be treated. Inpatient Coding Manager This position is responsible for ... coding staff with training, coding..
... Friday Job Posting: Patient Access Manager (RN) Employment Type: Full Time ... Posted: 1/3/2022 Categories: Licensed Nurses Manager of Patient Access Washington Regional ... Summary The role of the..
