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... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... courses of action. Responsibilities Location:..
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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... variable factors. Responsibilities..
Description Your Home Advantage (YHA) is a Humana-owned ... physician's office and the member's home. YHA provides prospective home visits conducted by licensed and ... trained clinical practitioners who perform..
... brand for a primary care medical group practice with centers open ... education and value-added, well-being services at the centers and around their ... community members improve their health...
... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... facility staff. Maintains integrity of medical records and other FMS administrative ... Decisions have an impact on..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors...
... Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location: work at home anywhere The Transplant Care Manager, ... Transplant centers and..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... Trend Location: Louisville, KY or Work At Home Assignment Capsule: Humana's ECM organization ... is seeking..
... CGX and faxing to Humana Medical Directors for approval or denial ... within defined parameters to identify work expectations and quality standards, but ... or Cable modem for a..
... Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location: work at home, must hold a Compact license ... Transplant centers and..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... The Utilization Management Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location:..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... factors. Responsibilities Job..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate Director,..
