Medical Director Part Time Jobs in Lancaster

... coordination, documentation and communication of medical services and/or benefit administration determinations. ... Management Nurse 2 reviews the medical documentation, completes telephonic reviews with ... appropriate criteria to make a..

... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..

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 ..

Job Information Humana RN Telephonic Transplant Care Manager-WAH in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Lancaster ... South Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..

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

... Scheduler for Home Health Full Time (Patient Services Coordinator) in Monroe ... Refers clinical questions to Branch Director as necessary. Maintains the client ... and forwards schedule to Branch..

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..

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

Job Information Humana Lead Product Manager - Healthcare API in Lancaster South Carolina Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..

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, ..

... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..

Job Information Humana Associate Director, Technology Solutions in Lancaster South ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..

... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..

... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..

Description The Director, Pharmacy Clinical Pipeline oversees the ... Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires..

... Healthy Horizons is seeking a Medical Director to help develop and execute ... develop initiatives to address women's medical and behavioral needs for adolescents, ... role requires strong collaboration..

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

... Humana Medicare Appeals and Grievance Medical Director in Lancaster South Carolina Description ... Lancaster South Carolina Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..

... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..

Job Information Humana Oncology Market Director in Lancaster South Carolina Description ... South Carolina Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..

Job Information Humana Care Team Medical Director in Lancaster South Carolina Description ... Carolina Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..