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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..
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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:..
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..
... 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..
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,..
... support program functions. Position will work on-site at Schriever AFB,u0026nbsp;telework by exception. Responsibilities ... management.u0026nbsp;u003c/liu003eu003cliu003ePerform other clerical and administrative work in support of the office/organizationu0026nbsp;using ... to 6% company..
... 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...
... The Compliance Nurse 2 reviews medical management activities and documentation to ... abuse. The Compliance Nurse 2 work assignments are varied and frequently ... administrative support to the Regional..
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...
... Certified Nurse Aide Reports to: Director of Nursing/Supervising RN Essential Duties ... stimulate the mind. 9. Manages home supply inventory to include, but ... submit to a pre-employment physical..
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,..
... 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..
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..
... of the MRA team will work closely with market operations, finance ... will have the ability look at provider performance metrics and be ... priorities, and attention to detail...
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,..